Active NPI
Elizabeth Malvino, LCSW
- Clinical Social Worker
- Mount Kisco, NY
National Provider Identifier
1124280284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073921
- Practice address
- 67 S Bedford Rd
Mount Kisco, NY 10549-3407 - Phone
- (914) 439-4514
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073921 | NY | Primary |
Addresses
Primary practice location
67 S Bedford Rd
Mount Kisco, NY 10549-3407
Mailing address
67 S Bedford Rd
Mount Kisco, NY 10549-3407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 073921 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Medical, PLLC | Clinical | Past | Accepting new patients |
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": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1124280284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493407",
"telephone_number": "914-439-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALVINO",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.