Active NPI
Alchemy of Aging, Leslie K Malin, LCSW PC
- Clinical Social Worker
- Saugerties, NY
National Provider Identifier
1093047045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 021282-1
- Legal business name
- ALCHEMY OF AGING, LESLIE K MALIN, LCSW PC
- Practice address
- 17 Valley St
Saugerties, NY 12477-1829 - Phone
- (845) 706-3114
- NPI assigned
- Feb 2, 2010
- Last updated
- Feb 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leslie Karen Malin, MSW
- Title
- President
- Phone
- (845) 706-3114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 021282-1 | NY | Primary |
Addresses
Primary practice location
17 Valley St
Saugerties, NY 12477-1829
Mailing address
17 Valley Street
Saugerties, NY 12477-1829
Phone (845) 706-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
664 Aaron Ct
Kingston, NY 12401
Phone (845) 705-7193
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Saugerties, NY
- NPI 1154500288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265068800000",
"number": "1093047045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VALLEY STREET",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124771829",
"telephone_number": "845-706-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 VALLEY ST",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124771829",
"telephone_number": "845-706-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCHEMY OF AGING, LESLIE K MALIN, LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A",
"authorized_official_last_name": "MALIN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-706-3114",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "021282-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.