Individual provider Active NPI

Alyson Jean Malchow, MSW, LICSW

  • Clinical Social Worker
  • Windom, MN
National Provider Identifier
1073806006
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22971 Issued in MN
Practice address
591 2ND Ave N
Windom, MN 56101-1927
Phone
(507) 831-2223
NPI assigned
May 24, 2011
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 22971 MN Primary

Addresses

Primary practice location

591 2ND Ave N
Windom, MN 56101-1927

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

521 Pfau Street
Mankato, MN 56001-7032
Phone (507) 344-0621

Other names 1

  • Alyson Jean Anderson-Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180208000212 MN Practitioner - Clinical Social Worker 4284994468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

308 8TH St N
Mountain Lake, MN 56159-1568
Phone (507) 427-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Aug 14, 2023 Accepting new patients
Sanford Health Network CurrentSince Aug 14, 2023 Accepting new patients
Horizon Homes, Inc. CurrentSince Dec 30, 2017 Accepting new patients
Sanford Health Network Current Accepting new patients
Horizon Homes, Inc PastSince Jun 26, 2022 Accepting new patients

Locations

306 Byron St
Mankato, MN 56001
Phone (507) 344-3361

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

591 2nd Ave N
Windom, MN 56101
Phone (507) 831-2223

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1073806006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 2ND AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011927",
            "telephone_number": "507-831-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Pfau Street",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560017032",
            "country_code": "US",
            "telephone_number": "507-344-0621",
            "fax_number": "507-344-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCHOW",
        "first_name": "ALYSON",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "ANDERSON-LEWIS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windom, MN

Sources for this page

Verify at the official NPI Registry.