Individual provider · Type 1 NPI

Dionetta Christine Mallory

Clinical Social Worker · Stockton, CA

NPI number 1053965202 Active

Practice location

2510 N California St
Stockton, CA 95204-5502

Map

Mailing address

2501 N California St
Stockton, CA 95204-5501

Other practice locations

  • 2510 N California St, Stockton, CA 95204-5502 · (209) 620-5358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X87217 (CA)

Clinical Social Worker: 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 interpers…

5 other providers at this address

Other clinical social worker providers in Stockton

See all in Stockton →

About NPI 1053965202

Dionetta Christine Mallory's National Provider Identifier is 1053965202, issued on Jul 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Sep 29, 2026.