Individual provider Active NPI

Anita L Mallicone, LCSW

  • Clinical Social Worker
  • Uniontown, PA
National Provider Identifier
1073540142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013267 Issued in PA
Practice address
100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone
(724) 437-0729
Fax
(724) 437-2761
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

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 CW013267 PA Primary

Addresses

Primary practice location

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936

Mailing address

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729

Other identifiers 3

IdentifierTypeStateIssuer
2755395OtherMAGELLAN
160263OtherTRICARE
879199OtherHIGHMARK

Other names 1

  • Ms. Anita L Smith Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073540142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 116",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 116",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICONE",
        "first_name": "ANITA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "2755395",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "160263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "879199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "SMITH",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.