Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ophelia Mailloux, LISW-S

Individual provider Marriage & Family Therapist · NPI 1710106984

Mrs. Ophelia Mailloux, LISW-S is a Clinical Social Worker in Mansfield, Ohio. Qualified in 2002, 24 years ago. Practices with Third Street Community Clinic, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

600 W Third St
Mansfield, OH 44906-2633
Phone: (419) 522-6191
Fax: (419) 522-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.00010288 (OH)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1710106984
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Third Street Community Clinic, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mansfield