Active NPI
Malia L Segal, LCSW
- Social Worker
- Tinton Falls, NJ
National Provider Identifier
1033574298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05875300
- Practice address
- 22 Spring CT
Tinton Falls, NJ 07724-3279 - Phone
- (848) 466-0738
- NPI assigned
- Dec 15, 2015
- Last updated
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05875300 | NJ | Primary |
Addresses
Primary practice location
22 Spring CT
Tinton Falls, NJ 07724-3279
Mailing address
22 Spring CT
Tinton Falls, NJ 07724-3279
Phone (848) 466-0738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05875300 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1033574298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SPRING CT",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077243279",
"telephone_number": "848-466-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SPRING CT",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077243279",
"telephone_number": "848-466-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "MALIA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05875300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinton Falls, NJ
- Nicolina Marie Scott
- Scotto Podiatry LLC
- Seabrook Village, Inc (Outpatient Rehabilitation Agency at Seabrook Village)
- Seabrook Village, Inc (Continuing Care at Seabrook Village)
- Seabrook Village, Inc. (Seabrook Village, Inc., Home Health Department)
- Senior Campus Primary Care Physicians, PC
- Senior Home Care Agency
- Senior Home Health Care Agency
- Rebecca Serrano
- Mihir J Shah, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.