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

Mallory Tedrick, LISW

Individual provider Clinical Social Worker · NPI 1780319525

Mallory Tedrick, LISW is a Clinical Social Worker in Lakewood, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

18123 Sloane Ave Ste 3
Lakewood, OH 44107-3107
Phone: (440) 782-1117
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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 I.2506260 (OH)
Social Worker Taxonomy 104100000X · Licence S.1700101 (OH)

Record details

NPI number1780319525
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedJuly 17, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address20400 Lake Rd, Rocky River, OH 44116-1330

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