Nicholas Malenka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103582 Issued in CA

Practice address

30615 Avenida de Las Flores
Rancho Santa Margarita, CA 92688-3949

Phone

(949) 867-7144

NPI assigned

Jun 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1124479944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80835",
            "city": "RCHO STA MARG",
            "state": "CA",
            "postal_code": "926880835",
            "telephone_number": "650-575-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30615 AVENIDA DE LAS FLORES",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883949",
            "telephone_number": "949-867-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENKA",
        "first_name": "NICHOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasra Maasumi, M.D.
• Cristine Marie Macduffee-Rainer
• Morvarid Madani, D.M.D.
• Mahasty Mahooty
• David Mahshi
• Kendall Maloof, LMFT
• Steven Malzahn, PHARMD
• Shahla Manafian
• Julian Martin Manrique, MPT, OCS
• Crispin J. Mar, PA-C

• Clinical Social Worker in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.