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

Mallory Gray Lane, LCSW-A

Individual provider Clinical Social Worker · NPI 1609582113

Mallory Gray Lane, LCSW-A is a Clinical Social Worker in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

5000 Falls Of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone: (919) 865-8710
Fax: (919) 784-9184
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 P017703 (NC)

Record details

NPI number1609582113
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

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