Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164866554 Individual Practitioner Male Practitioner

Michael Floyd Mallory , MSW, LCSW

Social Worker • Mchenry, IL

Professional Overview & Biography Verified Profile Summary

Michael Mallory, MSW, LCSW is a registered healthcare professional specializing in Social Worker in Mchenry, IL. Practice services are available at 4100 VETERANS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Veterans Pkwy

Mchenry, IL 600508350

Telephone 8157597032
Fax 8157597298
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
803 Specialists

Practicing in Mchenry, IL (5960 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
362480845 (IL)

Secondary Practice Locations

1801 W Warner Ave Ste 200

Chicago, IL 606131891

Phone: 6303861613

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Ashley Moon

Counselor - Mental Health

NPI 1063856870
Mary Fleming , RN, MA LPC QMHP

Counselor - Mental Health

NPI 1093151250

Registered Nurse, MALPCQMHP

Rick Mason , LCPC

Counselor - Professional

NPI 1134221443

Licensed Clinical Professional Counselor

Kayla Smitley

Counselor

NPI 1467897686
Aaron Kinert

Social Worker

NPI 1497191084
NPI 1659717304

Certified Alcohol and Drug Counselor, CRSS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 12, 2022

Registered at 4655 N SPAULDING AVE APT 2, CHICAGO, IL 606256923 (Tel: 6303861613)

NPI Profile Active December 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2014

Registered at 4100 VETERANS PKWY, MCHENRY, IL 600508350 (Tel: 8157597032)

📍
Updated Business Mailing Address December 15, 2014

Registered at 101 S JEFFERSON ST, WOODSTOCK, IL 600983437 (Tel: 6309918948)

👤
Provider Name / Credentials Updated December 15, 2014

Recorded as MICHAEL MALLORY, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2014

Social Worker

🟢
Initial NPI Registration & Enumeration April 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164866554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2013
Last Update: March 12, 2022
Sole Proprietor: No

Mailing Address

4655 N Spaulding Ave Apt 2

Chicago, IL 606256923

Phone: 6303861613

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.