MEDICARE: MALLORY MCINTOSH LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LCSW00001168	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780039537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY MCINTOSH LCSW

Provider Business Mailing Address
First Line	:	110 LIBERTY AVE
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-1644
Country	:	US
Telephone Number	:	606-401-2966
Fax Number	:	606-244-4111

Provider Business Practice Location Address
First Line	:	600 MONTICELLO ST
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501-2974
Country	:	US
Telephone Number	:	606-401-2966
Fax Number	:	606-244-4111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	12/29/2025

Similar Medicare Providers

1528069531 — MRS. MISTY R GOLDSON PMHNP, FNP
Practice Location Address:

600 MONTICELLO ST STE 1
SOMERSET, KY
42501-2974

Practice Phone: 606-400-2227
Practice Fax: 606-332-0576

1851676563 — MS. KASEY RENEE COMPTON LPCC
Practice Location Address:

600 MONTICELLO ST
SOMERSET, KY
42501-2974

Practice Phone: 606-401-2966
Practice Fax: 606-244-4111

1104249218 — SARAH JARVIS MA
Practice Location Address:

600 MONTICELLO ST STE 2
SOMERSET, KY
42501-2974

Practice Phone: 606-401-2966
Practice Fax: 606-244-4111

1417324989 — MINDSIGHT PLLC
Practice Location Address:

600 MONTICELLO ST STE 2
SOMERSET, KY
42501-2974

Practice Phone: 606-401-2966
Practice Fax: 606-244-4111

1417498106 — LAURA ELIZABETH COOPER LCSW
Practice Location Address:

600 MONTICELLO ST STE 2
SOMERSET, KY
42501-2974

Practice Phone: 606-401-2966
Practice Fax: 606-244-4111

1801399639 — CASSANDRA RACHELLE DALTON
Practice Location Address:

600 MONTICELLO ST
SOMERSET, KY
42501-2974

Practice Phone: 606-875-6540
Practice Fax:

Directions to “ MALLORY MCINTOSH LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.