MRS. MALLORY C SAMPLE MSW, LCSW
NPI 1679831549
Social Worker - Clinical in Saint Louis, MO

Active since April 30, 2012
4485 WESTMINSTER PL, SAINT LOUIS, MO 63108(314) 535-7911 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mallory C Sample Msw, Lcsw NPPES

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

MRS. MALLORY C SAMPLE MSW, LCSW (NPI 1679831549) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2012007447) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1679831549
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MALLORY C SAMPLECredential: MSW, LCSW
Location Address4485 WESTMINSTER PLSaint Louis, MO 63108-1812
Mailing Address5609 Devonshire AveSaint Louis, MO 63109-2872 · (314) 494-1714
Sole ProprietorYes
Enumeration DateApril 30, 2012
Last NPPES UpdateJune 1, 2016
NPI 1679831549 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 MO · 2012007447
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.
4485 WESTMINSTER PL, Saint Louis, MO 63108

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Marriage & Family Therapist
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Social Worker
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Counselor (Professional)
4485 WESTMINSTER PL, BOYS AND GIRLS TOWN
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Counselor
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108
Social Worker
4485 WESTMINSTER PL
SAINT LOUIS, MO 63108

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 Mallory Sample's NPI number?

The NPI number for Mallory Sample is 1679831549. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Mallory Sample located?

Mallory Sample practices at 4485 Westminster Pl, Saint Louis, MO 63108. The listed phone number is (314) 535-7911.

What is Mallory Sample's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallory Sample was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.