Individual provider Active NPI

Cynthia Rene Malek, LCSW-R, CASAC

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1154519528
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R082979-01 Issued in NY
Practice address
600 E Genesee St Ste 217
Syracuse, NY 13202-3108
Phone
(315) 463-3265
Fax
(315) 464-3282
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X R082979-01 NY Primary

Addresses

Primary practice location

600 E Genesee St Ste 217
Syracuse, NY 13202-3108

Mailing address

719 Harrison St
Syracuse, NY 13210-2695
Phone (315) 464-3265

Other names 1

  • Ms. Cynthia Rene Malek Professional name

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
I20151119000845 NY Practitioner - Clinical Social Worker 3971803164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry Faculty Practice, IncGroup PAC ID 9234458530, 90 clinicians

Practice addresses (Care Compare)

713 Harrison St
BLDG 3
Syracuse, NY 13210-2305
Phone (315) 464-3265

719 Harrison St
Syracuse, NY 13210-2305

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.2
Promoting interoperability
100
Improvement activities
40
Cost
69.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R082979-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Griswold LCSW PLLC CurrentSince Jul 23, 2018 Accepting new patients
Psychiatry Faculty Practice, Inc. CurrentSince Apr 20, 2020 Accepting new patients
Professional Practice Group, Dept. of Psych Clinical Past Accepting new patients

Locations

121 North St
Auburn, NY 13021
Phone (315) 252-3074

713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265

713 Harrison St
#3
Syracuse, NY 13210
Phone (315) 464-3119

719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265

600 E Genesee St
Ste 217
Syracuse, NY 13202
Phone (315) 452-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1154519528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102695",
            "telephone_number": "315-464-3265",
            "fax_number": "315-464-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GENESEE ST STE 217",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023108",
            "telephone_number": "315-463-3265",
            "fax_number": "315-464-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "CYNTHIA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R082979-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MALEK",
            "middle_name": "RENE",
            "prefix": "MS.",
            "credential": "LCSW-R, CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.