Individual provider

Dionetta Mallory

Clinical Social Worker Medicare enrolled

Dionetta Mallory is a provider specialising in Clinical Social Worker in Stockton, CA, registered under NPI 1053965202. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2510 N CALIFORNIA ST, Stockton, CA 95204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2510 N CALIFORNIA ST, Stockton, CA 95204 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
87217 CA Clinical Social Worker primary

This provider holds licence 87217 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
4981037397

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053965202 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 26, 2019
Last updatedJul 26, 2019
StatusActive
Sole proprietorYes
Practice address 2510 N CALIFORNIA ST
Stockton, CA 95204
Mailing address 2501 N CALIFORNIA ST
Stockton, CA 95204
The last update on file is Jul 26, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1053965202 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 9 6 5 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 9 6 1 2 0

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053965202?
NPI 1053965202 is the National Provider Identifier assigned to Dionetta Mallory in Stockton, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of…
Does Dionetta Mallory accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053965202 a valid number?
Yes. 1053965202 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.