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

Mallorie Ely, LCSW

Individual provider Social Worker · NPI 1871925834

Mallorie Ely, LCSW is a Clinical Social Worker in Sandpoint, Idaho. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1009 Highway 2 Ste D
Sandpoint, ID 83864-2713
Phone: (208) 610-0996
Fax: (208) 625-2046
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW35962 (ID)

Record details

NPI number1871925834
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 1, 2013
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing addressPo Box 484, Kootenai, ID 83840-0484

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sandpoint