Christina Stephens-Malloy – Clinical Social Worker

Key facts

NPI: 1154928893
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 124041 (MA)
Practice address: 474 Simpson Rd
Buxton, ME 04093-6213
Phone: (617) 229-5732
NPI assigned: Oct 6, 2020
Sex: Female
Sole proprietor: No

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.

Therapy Unleashed LLC Adult Mental Health Clinic/Center · Chelsea, MA · NPI 1174210991

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
124041	MA	MD	Clinical Social Worker
LC24968	ME	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Therapy Unleashed LLC		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	LC24968	ME
Clinical Social Worker	1041C0700X	124041	MA	Yes

Addresses

Primary practice location

474 Simpson Rd
Buxton, ME 04093-6213

Mailing address

474 Simpson Rd
Buxton, ME 04093-6213
Phone (617) 522-5732

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2025.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1154928893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SIMPSON RD",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040936213",
            "telephone_number": "617-522-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 SIMPSON RD",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040936213",
            "telephone_number": "617-229-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS-MALLOY",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buxton, ME

All providers in Buxton, ME · Clinical Social Worker in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.