Courtney Malcolm, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5 Deer Hill CT
Woodbury, CT 06798-3213

Phone

(203) 405-1581

NPI assigned

Aug 28, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Day Kimball Healthcare, Inc.Group PAC ID 5092773549, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.malcolm.1@29658.direct.athenahealth.com
• Direct secure messaging: courtney.malcolm@xdr.hhchealthdirect.org

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.

• Day Kimball Healthcare, Inc.

  • General Acute Care Hospital
  • Putnam, CT
  • NPI 1649243478
  Medicare reassignment Care Compare group NPD
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  Medicare reassignment NPD
• State of Connecticut

  dba Western Connecticut Mental Health Network

  • Adult Mental Health Clinic/Center
  • Waterbury, CT
  • NPI 1841225489
  Medicare reassignment NPD
• State of Connecticut

  dba Southeastern Mental Health Authority

  • Adult Mental Health Clinic/Center
  • Norwich, CT
  • NPI 1902831548
  Medicare reassignment NPD
• Day Kimball Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Putnam, CT
  • NPI 1104680966
  NPD
• Day Kimball Healthcare, Inc.

  • General Acute Care Hospital
  • Putnam, CT
  • NPI 1205056371
  NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Newtown Youth and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy Hook, CT
  • NPI 1114015211
  NPD (past)
• Embodied Living Counseling, LLC

  • Clinical Social Worker
  • North Kingstown, RI
  • NPI 1942804885
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1093909525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEER HILL CT",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983213",
            "telephone_number": "203-405-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DEER HILL CT",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983213",
            "telephone_number": "203-405-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "COURTNEY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Logue, NP
• Alison Marie Luciano, LCSW
• Stephanie Lynam, PSY.D.
• Saloua Mabkhouti, APRN
• Christina D Macinnis, MS, LADC, NCC
• Maria Guglielmino, Psy.D., LLC
• James B Marshall, DMD
• Kerry Martin, RN
• Mary E Tyrrell (Canfield Corner Pharmacy)
• Simone Matusevice, PTA

• Clinical Social Worker in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.