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

Lisaimy Mallo, LCSW

Individual provider Clinical Social Worker · NPI 1659959294

Lisaimy Mallo, LCSW is a Clinical Social Worker in Oakland Park, Florida. Qualified in 2018, 8 years ago. Practices with Ventre Medical Associates LLC, a 70-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone: (954) 561-6222
Fax: (954) 990-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7200 Camino Real Ste 201, Boca Raton, FL 33433-5511 — (561) 674-0885
  • 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 — (954) 561-6222
  • 7369 Sheridan St Ste 101, Hollywood, FL 33024-2776 — (954) 561-6222
  • 5901 Sw 74th St Ste 408, South Miami, FL 33143-5164 — (305) 735-3555

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW18143 (FL)

Record details

NPI number1659959294
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023
Mailing address1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ventre Medical Associates Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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