Svitlana Malis, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26268 Issued in CA

Practice address

10605 Balboa Blvd
# 100
Granada Hills, CA 91344-6342

Phone

(818) 832-2410

Fax

(818) 832-2409

NPI assigned

Jun 20, 2008

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1093976128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 CALVIN AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352461",
            "telephone_number": "818-426-8079",
            "fax_number": "818-775-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "address_2": "# 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-2410",
            "fax_number": "818-832-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIS",
        "first_name": "SVITLANA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Maguerrero
• Nita C. Mahajan I, MD
• Priyanka Perin Mahajan, M.S.
• Mahendra N. Patel, M.D., Inc.
• Maher Nakoud D.D.S., Inc. (Knollwood Dental)
• Venugopal Malligere Basavaraju, SLP
• Kyle Matthew Maloney, DDS
• Leonardo Mangilit, RN
• Alisha Renee Manning
• Michelle Marie Manning, M.A., M.F.T.I,

• Clinical Social Worker in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.