| Lauren Mallory, LICSW | |
|
3435 Martin Way E Ste H-1, Olympia, WA 98506-5071 | |
| (360) 480-5388 | |
| Not Available |
| Full Name | Lauren Mallory |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 3435 Martin Way E Ste H-1, Olympia, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003265257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61077072 (Washington) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epic Possibilities And Development | 5890102016 | 2 |
| Entity Name | Epic Possibilities And Development |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881295566 PECOS PAC ID: 5890102016 Enrollment ID: O20210405001798 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Mallory, LICSW 3435 Martin Way E Ste H-1, Olympia, WA 98506-5071 Ph: (360) 480-5388 | Lauren Mallory, LICSW 3435 Martin Way E Ste H-1, Olympia, WA 98506-5071 Ph: (360) 480-5388 |
Dylan Jennings Shearer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 5th Ave Se, Olympia, WA 98501 Phone: 360-316-6777 | |
Amory E.w. Ballantine, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-456-2413 | |
Sharon E Boyle-connelly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Ms. Patricia A Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 4th Ave E Ste 200, Olympia, WA 98506 Phone: 360-570-1161 Fax: 360-786-1089 | |
Toni Principe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 State Ave Ne, Olympia, WA 98506 Phone: 360-207-0660 Fax: 360-515-4753 | |
Crystal Elizabeth Garcia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4932 Siskiyou Loop Se, Olympia, WA 98501 Phone: 360-790-8602 Fax: 360-925-3037 |