Mallory Ruth Axelrod, LCSW
NPI 1073979936ActiveIndividual· Social Worker, Clinical· Cerritos, CA
Social Worker, Clinical (LCSW) in Cerritos, California, licensed in CA and IL, with an NPI issued in January 2016.
Overview
| NPI | 1073979936 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 7, 2016 |
| Last updated in NPPES | Nov 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW72307 | CA |
| Social Worker, Clinical | 1041C0700X | 149.017634 | IL |
| Social Worker, Clinical | 1041C0700X | ASW69967 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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