Individual provider Active NPI

Leslie K. Malin, L,C.S.W-R

  • Clinical Social Worker
  • Saugerties, NY
National Provider Identifier
1154500288
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0212821-1 Issued in NY
Practice address
17 Valley St
Saugerties, NY 12477-1829
Phone
(845) 706-3114
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0212821-1 NY Primary

Addresses

Primary practice location

17 Valley St
Saugerties, NY 12477-1829

Mailing address

17 Valley St
Saugerties, NY 12477-1829
Phone (845) 706-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000014 NY Practitioner - Clinical Social Worker 4880775436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

145 Palisade St
Suite 200
Dobbs Ferry, NY 10522-1627
Phone (845) 706-3114

664 Aaron CT
Kingston, NY 12401-2968
Phone (845) 706-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0212821-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alchemy of Aging, Leslie K Malin, LCSW PC Clinical CurrentSince Feb 3, 2010 Accepting new patients
Jewish Family Services of Ulster County Clinical PastSince Apr 30, 2003 Accepting new patients

Locations

145 Palisade St
Ste 200
Dobbs Ferry, NY 10522
Phone (484) 680-1355

664 Aaron Ct
Kingston, NY 12401
Phone (845) 705-7193

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1154500288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VALLEY ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771829",
            "telephone_number": "845-706-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VALLEY ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771829",
            "telephone_number": "845-706-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIN",
        "first_name": "LESLIE",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "L,C.S.W-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0212821-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.