LATASHA TENE MALLORY
NPI 1689566184
Social Worker - Clinical in Chicago, IL
About Latasha Tene Mallory NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATASHA TENE MALLORY (NPI 1689566184) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (180005020) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Latasha Tene Mallory 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.
Medicare Billing Reassignment
Medicare enrollment records show Latasha Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Skokie, IL 60076
- Reassigned Medicare billing, Illinois enrollment
- 491 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60601
CHICAGO, IL 60601
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 Latasha Mallory's NPI number?
The NPI number for Latasha Mallory is 1689566184. It was assigned to this individual provider in the NPPES registry on July 18, 2025.
Where is Latasha Mallory located?
Latasha Mallory practices at 303 E Wacker Dr Ste 1127, Chicago, IL 60601. The listed phone number is (312) 736-1776.
What is Latasha Mallory's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Latasha Mallory enrolled in Medicare?
Yes. Latasha Mallory 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.
Which organization bills Medicare for Latasha Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Mallory reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latasha Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Latasha Mallory was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Latasha Tene Mallory · NPI 1689566184
Clinical provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 18, 2025.
## Identity
- **NPI:** 1689566184 (Entity type: Individual)
- **Enumerated:** July 18, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 180005020 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 303 E WACKER DR STE 1127, Chicago, IL 60601-5215
- **Phone:** (312) 736-1776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Vitae Health Medical Illinois, PLLC (NPI 1174013452, Skokie, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689566184) · Data from the CMS NPPES public registry.