Individual provider Active NPI

Anne M Malena, LCSW

  • Clinical Social Worker
  • Spring Lake, NC
National Provider Identifier
1083893069
Registry record updated Aug 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MC11230 Issued in ME
Practice address
100 Person CT
Spring Lake, NC 28390-1685
Phone
(207) 521-1171
NPI assigned
Oct 26, 2007
Last updated
Aug 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC11230 ME Primary
Clinical Social Worker 1041C0700X C007755 NC

Addresses

Primary practice location

100 Person CT
Spring Lake, NC 28390-1685

Mailing address

100 Person CT
Spring Lake, NC 28390-1685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC11230MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Check Your Peace Clinical CurrentSince Sep 23, 2021 Accepting new patients
Community Connections Healthcare Services, LLC Clinical Past Accepting new patients
New Day Counseling Center, Inc., P.C. PastSince Oct 8, 2004 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1083893069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERSON CT",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283901685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERSON CT",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283901685",
            "telephone_number": "207-521-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENA",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC11230",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

Verify at the official NPI Registry.