Thomas Alan Malek-Jones, D.MIN, LCSW
Individual provider Active NPI Clinical Social Worker · Upper Montclair, NJ
NPI 1124312426 · NPPES record last updated Jun 3, 2011
Key facts
- NPI
- 1124312426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SC445629 (NJ)
- Practice address
- 256 Park St
Upper Montclair, NJ 07043-1799 - Phone
- (973) 800-8121
- Fax
- (973) 395-7018
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC445629 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC445629 | NJ | Yes |
Addresses
Primary practice location
256 Park St
Upper Montclair, NJ 07043-1799
Mailing address
256 Park St
Upper Montclair, NJ 07043-1799
Phone (973) 800-8121
Other providers in Upper Montclair, NJ
- Susan H. Levine
- Lighthouse Counseling Group LLC
- Ruthann Longo
- Jana Fern Luber
- William R Lutz Jr.
- Kathleen Mary Mangano
- Dorothy J Margolskee
- Julie Marshall
- Richard U Mascera, Jr.
- Joseph Mason III
All providers in Upper Montclair, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.