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

Katrina Mallery

Individual provider Clinical Social Worker · NPI 1114857109

Katrina Mallery is a Clinical Social Worker in Endwell, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

712 Farm To Market Rd
Endwell, NY 13760-1128
Phone: (607) 754-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 092230 (NY)

Record details

NPI number1114857109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address712 Farm To Market Rd, Endwell, NY 13760-1128

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