Dionetta Mallory
NPI 1053965202 · Clinical Social Worker · Stockton, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dionetta Mallory is a Clinical Social Worker provider in Stockton, CA (NPI 1053965202).
Provider details
- NPI number
- 1053965202
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 87217 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Mailing address
Additional practice locations (1)
- 2510 N California StStockton, CA 95204-5502Phone: (209) 620-5358
Registry dates
- Enumerated
- 2019-07-26
- Last updated
- 2019-07-26
Frequently asked questions
- What is Dionetta Mallory's NPI number?
- Dionetta Mallory's National Provider Identifier (NPI) is 1053965202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dionetta Mallory's specialty?
- Dionetta Mallory is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dionetta Mallory located?
- Dionetta Mallory's practice location on file with NPPES is 2510 N California St, Stockton, CA 95204-5502.
- Does Dionetta Mallory accept Medicare?
- Dionetta Mallory is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dionetta Mallory's NPI active?
- Yes — Dionetta Mallory's NPI (1053965202) is active in the NPPES registry as of the last update on 2019-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.