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

Individual provider Clinical Social Worker · NPI 1851983274

Mrs. Mallorie Taylor Lara, LICSW is a Clinical Social Worker in Manchester, New Hampshire. Licensed in New Hampshire and Utah. Registered with an NPI since 2021.

Licensed in
NH, UT
In the registry since
2021
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

149 Hanover St Ste 200
Manchester, NH 03101-2245
Phone: (603) 696-4872
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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 3000 (NH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12111273-3501 (UT)
Social Worker Taxonomy 104100000X · Licence 12111273-3502 (UT)

Record details

NPI number1851983274
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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