JAMIE LEE MALLON
NPI 1629580782
Social Worker - Clinical in Southgate, MI

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(313) 278-2327 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2024, Oct 30, 2017 (2 updates tracked since 2017).

About Jamie Lee Mallon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE LEE MALLON (NPI 1629580782) is an individual clinical provider in Southgate, Michigan, licensed in Michigan (6801117507) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629580782
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAMIE LEE MALLON
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 30, 2017
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
NPI 1629580782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801117507
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedTechnician, OtherTaxonomy 247200000X
14799 DIX TOLEDO RD, Southgate, MI 48195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jamie Lee Mallon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002269834
PECOS Enrollment IDI20240129002719
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Counselor (Addiction (Substance Use Disorder))
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Community/Behavioral Health
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Mallon's NPI number?

The NPI number for Jamie Mallon is 1629580782. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Jamie Mallon located?

Jamie Mallon practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (313) 278-2327.

What is Jamie Mallon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jamie Mallon enrolled in Medicare?

Yes. Jamie Mallon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jamie Mallon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Jamie Mallon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie Mallon was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.