LISAIMY MALLO LCSW
NPI 1659959294
Social Worker - Clinical in Oakland Park, FL

Q: What is Lisaimy Mallo's NPI number?

The NPI number for Lisaimy Mallo is 1659959294. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Lisaimy Mallo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisaimy Mallo was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

1400 E OAKLAND PARK BLVD STE 210, OAKLAND PARK, FL 33334(954) 561-6222(954) 990-7650 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, May 11, 2021, Apr 1, 2021 (3 updates tracked since 2021).

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About Lisaimy Mallo Lcsw NPPES

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

LISAIMY MALLO LCSW (NPI 1659959294) is an individual clinical provider in Oakland Park, Florida, licensed in Florida (SW18143) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659959294

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISAIMY MALLOCredential: LCSW

Location Address1400 E OAKLAND PARK BLVD STE 210Oakland Park, FL 33334-4400

Mailing Address1400 E Oakland Park Blvd Ste 210Oakland Park, FL 33334-4400 · (954) 561-6222 · Fax (954) 990-7650

Phone(954) 561-6222

Fax(954) 990-7650

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 1, 2021

Last NPPES UpdateJanuary 16, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2023

✔ NPI 1659959294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW18143

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.

1400 E OAKLAND PARK BLVD STE 210, Oakland Park, FL 33334

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Other Identifiers 1

Medicaid110326600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Lisaimy Mallo Lcsw 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 ID9133537707

PECOS Enrollment IDI20210420001560

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 33334 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 $58.56 – $179.05

Typical copayment $0.00 (range $14.64 – $44.76)

Most-billed visit code NA

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

ARIEL ELISE SANTIAGO

Nurse Practitioner (Psychiatric/Mental Health)