Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dionetta Christine Mallory

Individual provider Clinical Social Worker · NPI 1053965202

Dionetta Christine Mallory is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Partly verified

Some contact details are missing from the federal record.

2510 N California St
Stockton, CA 95204-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2510 N California St, Stockton, CA 95204-5502 — (209) 620-5358

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 87217 (CA)

Record details

NPI number1053965202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2019
Last updated in NPPESJuly 26, 2019

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