MALLORY A MARESKI (NPI# 1154916815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154916815 |
| Entity Type | Individual |
| Full Name | MS. MALLORY A MARESKI |
| Gender | Female |
| Credential | LCSW |
| Practice Address | 3111 W Armitage Ave Ste 200-204 Chicago IL 60647-3818 |
| Practice Telephone | 7085731920 |
| Mailing Address | 3111 W Armitage Ave Ste 200-204 Chicago IL 60647-3818 |
| Certification Date | 2021-03-08 |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-08 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | 149.022986 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1619 N Mohawk St Apt 2r, Chicago, IL 606147228 | 2482256544 |
| Street Address | 3111 W ARMITAGE AVE STE 200-204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083219729 | John Wall | Marriage & Family Therapist | 3111 W Armitage Ave Ste 200, Chicago, IL 60647-3818 | 2020-12-01 |
| 1194340729 | Jeffrey Kinka | Dentist · General Practice | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2020-06-09 |
| 1689223992 | Hannah Newman, Lcsw LLC | Clinic/Center · Adolescent and Children Mental Health | 3111 W Armitage Ave Fl 2, Chicago, IL 60647-3818 | 2019-09-09 |
| 1629558762 | Dr Sam Dental PC | Dentist · General Practice | 3111 W Armitage Ave, Chicago, IL 60647-3818 | 2018-08-17 |
| 1871000356 | Julio Alberto Rebolledo | Pharmacist · Pharmacotherapy | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2018-01-05 |
| 1962850719 | Josue Nunez | Nurse Practitioner · Adult Health | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2016-06-01 |
| 1700242898 | Primerx, Inc. · Antillas Pharmacy | Pharmacy · Community/Retail Pharmacy | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2016-01-06 |
| 1033523188 | Ellenore Scott | Social Worker · Clinical | 3111 W Armitage Ave, Chicago, IL 60647-3818 | 2014-06-17 |
| 1710305008 | Maar Illinois Inc · Antillas Pharmacy | Pharmacy · Community/Retail Pharmacy | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2014-04-03 |
| 1558588483 | Jem Pharmacy | Pharmacy | 3109 W Armitage Ave, Chicago, IL 60647-3818 | 2007-04-20 |
| Find all providers in zip 60647-3818 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982296539 | Edward Yoo | Pharmacist | 2434 No. Sacramento Ave, Chicago, IL 60647 | 2021-02-05 |
| 1275124422 | Esther Liana Ellis | Dietitian, Registered | 2122 N Stave Street Apt 2, Chicago, IL 60647 | 2021-01-31 |
| 1992396147 | Mara Clare Marin | Counselor · Professional | 2269 N Kedzie Blvd Apt 1, Chicago, IL 60647 | 2021-01-31 |
| 1730775974 | Jesus Lucero Tovar | Pediatrics · Developmental - Behavioral Pediatrics | 4433 Touhy Ave, Chicago, IL 60647 | 2020-12-11 |
| 1558975185 | Kristin Tayag | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-09-01 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist · General Practice | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1437794476 | Khrystyna Huzar | Nurse Practitioner · Family | 2656 N Elston Ave, Chicago, IL 60647 | 2019-11-13 |
| 1740772342 | Envision Unlimited · Washtenaw, 3n | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376138743 | Liisa M Freeh | 2933 N Avers Ave Unit 1, Chicago, IL 60618-7205 | 2021-03-07 | |
| 1114512654 | Margaret Fitch | 10801 S Western Ave Ste 2b, Chicago, IL 60643-3225 | 2021-03-06 | |
| 1053906610 | Olaide Agunloye | 2001 W North Ave, Chicago, IL 60647-5413 | 2021-03-05 | |
| 1306431929 | Melanie Garrett L Garrett | 5317 W Chicago Ave, Chicago, IL 60651-2815 | 2021-03-05 | |
| 1457946204 | Guadalupe Arroyo · Lupita Arroyo | 5419 N. Sheridan Road, Suite 103-A, Chicago, IL 60640 | 2021-03-03 | |
| 1144815994 | Mary Kathleen Wagner | 2451 W Cortland St Apt 3, Chicago, IL 60647-0452 | 2021-03-03 | |
| 1215522131 | James W Rohde | 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 | 2021-03-02 | |
| 1356936488 | Andrew Patrick Hazzard | 1525 E 53rd St Ste 602, Chicago, IL 60615-4551 | 2021-03-01 | |
| 1144815226 | Megan Evans | 676 N Saint Clair St Ste 945, Chicago, IL 60611-2952 | 2021-03-01 | |
| 1760077838 | Lilah Handler & Associates | 3411 W Diversey Ave Ste 14, Chicago, IL 60647-1245 | 2021-03-01 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699233825 | Holly Jean Mareski | Social Worker · Clinical | 450 E 22nd St Ste 150, Lombard, IL 60148-6118 | 2019-03-06 |
| 1255802377 | Mallory Kathryn Aye-Englert · Mallory Aye | Naturopath | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2018-12-16 |
| 1215225909 | Mallory L Heath · Mallory Heard | Physician Assistant · Surgical | 4141 S Staples St Ste 300, Corpus Christi, TX 78411-0002 | 2011-07-14 |
| 1902169170 | Mallory M Adler · Mallory J. Mandel | Dentist · General Practice | 9346 Towne Square Ave, Blue Ash, OH 45242-6943 | 2012-06-21 |
| 1740685858 | Mallory L. Miller · Mallory Lynn Sowcik | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1750617460 | Mallory A Virgin · Mallory A Trice | Occupational Therapy Assistant | 7300 E Indiana St, Suite 102, Evansville, IN 47715-2794 | 2009-10-30 |
| 1861870115 | Mallory Mcintosh · Mallory Mcginnis | Student in an Organized Health Care Education/Training Program | 2860 Sw Mission Woods Dr, Topeka, KS 66614-5604 | 2015-05-07 |
| 1457974008 | Mallory J Willis · Mallory J Weiss | Physical Therapist | 600 S 21st St Unit 130, Colorado Springs, CO 80904-3763 | 2020-05-18 |
| 1104355510 | Mallory Shae Fochtman · Mallory Stone | Registered Nurse | 50561 State Hwy 14, Stevenson, WA 98648 | 2017-06-08 |
| 1962748772 | Mallory Kargela · Mallory Rojewski | Physical Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2012-12-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.