NPI
Mallory Ruth Axelrod
NPI 1073979936
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- LCSW
- Type
- Individual
- Enumeration date
- 2016-01-07
- Last updated
- 2019-11-20
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Specialties
Licenses
- License IL
- 149.017634
- License CA
- ASW69967
- License CA
- LCSW72307
Location
- Practice location
- 10929 South St Ste 214b
- City
- Cerritos CA
- Postal code
- 90703-5374
- Phone
- (562) 924-5526
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinical Social Workers in Cerritos, CA. 123 with this primary taxonomy in the public file.
Other NPIs in Cerritos, CA. 2,285 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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