Active NPI
Michelle Maloney
- Clinical Social Worker
- Hallandale Beach, FL
National Provider Identifier
1164037651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17554
- Practice address
- 1025 E Hallandale Beach Blvd
Ste 15 - 783
Hallandale Beach, FL 33009 - Phone
- (754) 900-5304
- NPI assigned
- Sep 10, 2020
- 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 | SW17554 | FL | Primary |
Addresses
Primary practice location
1025 E Hallandale Beach Blvd
Ste 15 - 783
Hallandale Beach, FL 33009
Mailing address
1025 E Hallandale Beach Blvd
Ste 15 - 783
Hallandale Beach, FL 33009
Phone (754) 900-5304
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 |
|---|---|---|---|
| SW17554 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- michellemaloney@tdh.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1164037651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E HALLANDALE BEACH BLVD",
"address_2": "STE 15 - 783",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "33009",
"telephone_number": "754-900-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E HALLANDALE BEACH BLVD",
"address_2": "STE 15 - 783",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "33009",
"telephone_number": "754-900-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.