NPI 1649357914 · live from the CMS NPI Registry
Mallory Berry Ackeman, LCSW
Social Worker, Clinical in Kennett Square, PA. National Provider Identifier 1649357914, active.
NPI record
| NPI | 1649357914 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1643 W Doe Run Rd, Kennett Square, PA 19348 |
| Practice phone | 201-362-2492 |
| Enumerated | November 1, 2006 |
| Last updated | November 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 44SC05313700 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | CW024178 (PA) |
| Social Worker, Clinical | 1041C0700X | Q-1-00011845 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.