Nicole Mallory, LCSW
Social Worker, Clinical in Harrisburg, PA. Individual provider (NPI-1).
NPI number1164069902
StatusActive
Last updated in NPPESAug 17, 2026
Details
- NPI
- 1164069902
- Entity type
- Individual (NPI-1)
- Name
- Nicole Mallory
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2019
- Certification date
- Aug 17, 2026
- Last updated
- Aug 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW027715 | PA | Yes |
Practice location
4309 Linglestown RdHarrisburg, PA 17112-8624
Phone 717-412-4908
Mailing address
4309 Linglestown RdHarrisburg, PA 17112-8624
Phone 717-557-8277
Other practice locations
300 Mulberry St Ste 201
Scranton, PA 18503-1233
Scranton, PA 18503-1233
Phone 570-955-5479
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