Individual provider Active NPI

Karen Diann Malina, CSW-R

  • Clinical Social Worker
  • Chatham, NY
National Provider Identifier
1053371278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR 020257-1 Issued in NY
Practice address
338 Bushnell Rd
Chatham, NY 12037-3909
Phone
(518) 392-6176
NPI assigned
Mar 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR 020257-1 NY Primary

Addresses

Primary practice location

338 Bushnell Rd
Chatham, NY 12037-3909

Mailing address

338 Bushnell Rd
Chatham, NY 12037-3909
Phone (518) 392-6176

Other identifiers 1

IdentifierTypeStateIssuer
7334049OtherNYGHI PROVIDER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116000366 NY Practitioner - Clinical Social Worker 0840559019 Practice locations: Chatham, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

338 Bushnell Rd
Chatham, NY 12037-3909
Phone (518) 392-5189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR 020257-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053371278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BUSHNELL RD",
            "city": "CHATHAM",
            "state": "NY",
            "postal_code": "120373909",
            "telephone_number": "518-392-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 BUSHNELL RD",
            "city": "CHATHAM",
            "state": "NY",
            "postal_code": "120373909",
            "telephone_number": "518-392-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINA",
        "first_name": "KAREN",
        "middle_name": "DIANN",
        "name_prefix": "Ms.",
        "credential": "CSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR 020257-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID NUMBER",
            "identifier": "7334049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NY

Sources for this page

Verify at the official NPI Registry.