Kelly A Malone, QMHS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1904198 Issued in OH

Practice address

220 S Breiel Blvd Ste 4
Middletown, OH 45044-5106

Phone

(513) 849-8670

Fax

(513) 271-0080

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

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.

• Phoenix Group Home, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  NPD
• Phoenix Group Home, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124436076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESAPEAKE PLZ",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191003",
            "telephone_number": "513-849-8670",
            "fax_number": "513-271-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BREIEL BLVD STE 4",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445106",
            "telephone_number": "513-849-8670",
            "fax_number": "513-271-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Malay, PT, DPT
• Albert Staebler Malcolm, M.D.
• Mozhgan Malekan
• Kari Michelle Mallory, MSW, LSW, ACM
• Kathleen M Malone, PT
• Lotfi F Mamlouk, MD
• Dennis M Mann, MD
• Jennifer Lee Manning, INDEPENDENT PROVIDER
• Andrea Lynn Marcotte
• Gabrielle Georgiana Marcum, BCBA

• Social Worker in Middletown, OH
• Providers in Middletown, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.