Active NPI
Janine Malin, LSW
- Clinical Social Worker
- Lebanon, PA
National Provider Identifier
1124492624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW124718
- Practice address
- 125 Schneider Dr
Lebanon, PA 17046-4875 - Phone
- (717) 376-1020
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SW124718 | PA | Primary |
Addresses
Primary practice location
125 Schneider Dr
Lebanon, PA 17046-4875
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104048687 | Medicaid | PA | |
| SW124718 | Other | PA | STATE LICENSE - SOCIAL WORKER |
| 13661446 | Other | CAQH ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW124718 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Current | Accepting new patients | |
| Philhaven | Past | Accepting new patients | |
| Pennsylvania Counseling Services Inc | Past | Accepting new patients |
Locations
785 5th Ave
Ste 3
Chambersburg, PA 17201
125 Schneider Dr
Lebanon, PA 17046
Phone (717) 270-2444
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Lebanon, PA
- NPI 1972598076
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, PA
- NPI 1366534620
-
- Clinic/Center
- Lebanon, PA
- NPI 1508081639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1124492624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 SCHNEIDER DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170464875",
"telephone_number": "717-376-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIN",
"first_name": "JANINE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW124718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104048687",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - SOCIAL WORKER",
"identifier": "SW124718",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "13661446",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.