Active NPI
Linda Mallon, LMSW
- Social Worker
- Wantagh, NY
National Provider Identifier
1154438323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 030316-1
- Practice address
- 3375 Park Ave
Wantagh, NY 11793-3733 - Phone
- (516) 781-1911
- Fax
- (516) 781-1173
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 030316-1 | NY | Primary |
Addresses
Primary practice location
3375 Park Ave
Wantagh, NY 11793-3733
Mailing address
3375 Park Ave
Wantagh, NY 11793-3733
Phone (516) 781-1911
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 |
|---|---|---|---|
| 030316-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Nassau Guidance Center Inc. | 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.
-
- Community/Behavioral Health Agency
- Wantagh, NY
- NPI 1124131461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154438323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933733",
"telephone_number": "516-781-1911",
"fax_number": "516-781-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 PARK AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933733",
"telephone_number": "516-781-1911",
"fax_number": "516-781-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLON",
"first_name": "LINDA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "030316-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.