Nicole Mallory, LCSWA

NPI 1528943875 · on the registry since 2025

Practice

Address: 3623 Latrobe Dr Ste 119
Charlotte, NC 28211
Phone: (980) 502-9615
Organisation at this address: Stemap Llc
Delacy C Llc
Kerry Taylor Inc
Progressive Care Llc
Atum Professional Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 135

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina