Individual provider · Type 1 NPI

Mallory Vanzalen, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1063253763 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 281-6363 Map

Fax (616) 281-6459

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X6801123103 (MI)

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…

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About NPI 1063253763

Mallory Vanzalen, LMSW's National Provider Identifier is 1063253763, issued on Jun 5, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 21, 2026.