Individual provider · Type 1 NPI

Nicole Mallory, LCSW

Clinical Social Worker · Harrisburg, PA

NPI number 1164069902 Active

Practice location

4309 Linglestown Rd
Harrisburg, PA 17112-8624

Call (717) 412-4908 Map

Other practice locations

300 Mulberry St Ste 201, Scranton, PA 18503-1233 · (570) 955-5479

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CW027715 (PA)

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 1164069902

Nicole Mallory, LCSW's National Provider Identifier is 1164069902, issued on Nov 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Harrisburg, PA. The record was last updated on Aug 17, 2026.