Provider Demographics
NPI:1447556147
Name:KEEFFE, MALLORY N (LSCSW)
Entity type:Individual
Prefix:MS
First Name:MALLORY
Middle Name:N
Last Name:KEEFFE
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E PARK DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:KS
Mailing Address - Zip Code:66402-9343
Mailing Address - Country:US
Mailing Address - Phone:785-230-1428
Mailing Address - Fax:
Practice Address - Street 1:2955 SW WANAMAKER DR STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5341
Practice Address - Country:US
Practice Address - Phone:785-230-1428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator