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

Mallory R Tamillo, LCSW

Individual provider Clinical Social Worker · NPI 1689371254

Mallory R Tamillo, LCSW is a Clinical Social Worker in Northbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
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

60 Revere Dr Ste 100
Northbrook, IL 60062-1590
Phone: (877) 552-6672
Fax: (224) 306-1878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.026934 (IL)

Record details

NPI number1689371254
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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