Paul L. Malloy, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW #779 Issued in KS

Practice address

4500 College Blvd.
Suite 304
Overland Park, KS 66211-1760

Phone

(913) 323-6560

Fax

(913) 338-0428

NPI assigned

Nov 15, 2006

Last updated

Sep 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2016 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• JM Counseling Service LLC

  • Professional Counselor
  • Overland Park, KS
  • NPI 1326588666
  NPD (past)
• Kansas City Psychiatric Group

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1023044641
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1073686622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD.,",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111760",
            "telephone_number": "913-323-6560",
            "fax_number": "913-338-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD.",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111760",
            "telephone_number": "913-323-6560",
            "fax_number": "913-338-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "PAUL",
        "middle_name": "L.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW #779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Mallory, MD
• Rebekah Mallory, PTA, LMT
• Cora A Mallot, MD
• Quinton Mallot, PHARM.D
• Madison Malloy, MS, BCBA
• Rouba Maluf
• Max Steven Mancillas, O.D.
• Gina Marie Mandacina, C.P.T.A.
• Gwendolynn Mangers
• Charles Mangine

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.