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

Mallory Wilson

Individual provider Clinical Social Worker · NPI 1629311378

Mallory Wilson is a Clinical Social Worker in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

3576 Arlington Ave Ste 100
Riverside, CA 92506-3907
Phone: (951) 374-1555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8019 Compton Ave, Los Angeles, CA 90001-3409 — (323) 586-7333

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 98202 (CA)

Record details

NPI number1629311378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2013
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 17, 2021

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