George Eric Malin, CAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACO771 Issued in MD

Practice address

422 W Market St
Worcester County Health Department - Market Square
Snow Hill, MD 21863-1127

Phone

(410) 632-4510

Fax

(410) 632-4933

NPI assigned

Dec 27, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104981372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 ELMO DRYDEN RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218713707",
            "telephone_number": "410-957-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W MARKET ST",
            "address_2": "WORCESTER COUNTY HEALTH DEPARTMENT - MARKET SQUARE",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218631127",
            "telephone_number": "410-632-4510",
            "fax_number": "410-632-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIN",
        "first_name": "GEORGE",
        "middle_name": "ERIC",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ACO771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Michelle Lowe, CRNM
• Cathy O Lucas
• Kaleb Lucas
• Kelcey Leigh Luyo
• Claire Klingenberg Maisel, RN
• Teah Janay Mann
• Violet Margarita-Goldkamp
• Courtney Ann Mariner
• Ryan M Mariner, DDS
• Caitlyn Marshall

• Addiction (Substance Use Disorder) Counselor in Snow Hill, MD
• Providers in Snow Hill, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.