Allison Denise Eldridge Malan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113941 Issued in CA

Practice address

643 S Main St
Ukiah, CA 95482-4985

Phone

(707) 391-6719

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Allison Denise Eldridge Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20518/brand/1/csg/1/fhir/r4
• Direct secure messaging: allison.malan.1@20518.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mendocino Care Network

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ukiah, CA
  • NPI 1083255095
  Medicare reassignment NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1073390555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S MAIN ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S MAIN ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824985",
            "telephone_number": "707-391-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "ALLISON",
        "middle_name": "DENISE ELDRIDGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "ELDRIDGE",
            "middle_name": "DENISE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall Gary Maddox, PT
• Yamile Magana-Mendoza
• Elias Vasilios Magoulas, RAS
• Artin Mahmoudi, M.D.
• Rehab Makhoul
• Kimberly Mallory
• Lauren Malugani
• Daniel P Mandelbaum, M.D.
• Breanna Manfredini
• Jeremy S Mann, M.D.

• Clinical Social Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.