Mallory Nicole Fowler, is a
Social Worker based in Visalia, California. Mallory Nicole Fowler is licensed to practice in California (license number ACSW81847) and her current practice location is
520 E Tulare Ave, Visalia, California. She can be reached at her office (for appointments etc.) via phone at
(559) 623-0496.
NPI number for Mallory Nicole Fowler is 1982127262 and her current mailing address is 520 E Tulare Ave, Visalia, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982127262.
Healthcare Provider's Profile
| Full Name | Mallory Nicole Fowler |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 520 E Tulare Ave, Visalia, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982127262
- Provider Enumeration Date: 07/19/2017
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Mallory Nicole Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982127262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 104100000X | Social Worker | ACSW81847 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Nicole Fowler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mallory Nicole Fowler,
520 E Tulare Ave,
Visalia, CA 93292-3629
Ph: (559) 623-0496 | Mallory Nicole Fowler,
520 E Tulare Ave,
Visalia, CA 93292-3629
Ph: (559) 623-0496 |
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