MALLORY ALISE WORREL – Clinical Social Worker, NPI 1770288128

MALLORY ALISE WORREL is a healthcare provider. based in Desloge, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 2022023146 (MO). The NPI Number for MALLORY ALISE WORREL is 1770288128

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY ALISE WORREL
NPI
1770288128
Phone
(808) 597-0556
Address
417 N CARTER ST
Enumeration Date
4 April 2023
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608908023
Graduation Year
2017 (9 years ago)
PAC ID
7911367222
Group Practice PAC ID
4688561814
Professional Enrollment ID
I20230718004125
Address ID
MO647351192CL1602XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for MALLORY ALISE WORREL

  • 417 N CARTER ST

    DESLOGE, MO 636012903

    Phone: (808) 597-0556

    Type: Mailing

  • 1602 N 2ND ST

    CLINTON, MO 647351192

    Phone: (660) 890-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230718004125IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688561814View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Family PracticeMO
Internal MedicineMO
Emergency MedicineGA
-MO
-MO
Family PracticeMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do payers reference MALLORY ALISE WORREL?
For MALLORY ALISE WORREL, use NPI 1770288128 as the unique 10-digit identifier.
Is MALLORY ALISE WORREL shown as active in public data?
Registry records indicate MALLORY ALISE WORREL maintains an active NPI.
What kind of doctor is MALLORY ALISE WORREL?
MALLORY ALISE WORREL is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is MALLORY ALISE WORREL registered?
Use Desloge, Missouri as the headline location for MALLORY ALISE WORREL here.
Can I trust this NPI listing for MALLORY ALISE WORREL?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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