Individual provider Active NPI

Zareena Malone

  • Social Worker
  • Sandy Springs, GA
National Provider Identifier
1114352580
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW007025 Issued in GA
Practice address
270 Carpenter Dr NE
Suite 400
Sandy Springs, GA 30328-0000
Phone
(678) 460-0345
Fax
(678) 460-0350
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW007025 GA Primary

Addresses

Primary practice location

270 Carpenter Dr NE
Suite 400
Sandy Springs, GA 30328-0000

Mailing address

270 Carpenter Dr NE
Suite 400
Sandy Springs, GA 30328-0000
Phone (678) 460-0345

Other practice location 1

10929 South St
Suite 208B
Cerritos, CA 90703-5340
Phone (562) 924-5526

Other practice location 2

10929 South St
Suite 208B
Cerritos, CA 90703-5340
Phone (562) 924-5526

Other identifiers 1

IdentifierTypeStateIssuer
MSW007025MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW007025GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Ties Inc. PastSince Dec 15, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.zareenamalone@124220.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114352580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR NE",
            "address_2": "SUITE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303280000",
            "telephone_number": "678-460-0345",
            "fax_number": "678-460-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR NE",
            "address_2": "SUITE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303280000",
            "telephone_number": "678-460-0345",
            "fax_number": "678-460-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10929 South St",
            "address_2": "Suite 208B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907035340",
            "country_code": "US",
            "telephone_number": "562-924-5526",
            "fax_number": "562-924-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10929 South St",
            "address_2": "Suite 208B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907035340",
            "country_code": "US",
            "telephone_number": "562-924-5526",
            "fax_number": "562-924-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "ZAREENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW007025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSW007025",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.