Individual provider Active NPI

Malin Valine, LCSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1164135745
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88150 Issued in CA
Practice address
5775 Enfield Ave
Encino, CA 91316-1036
Phone
(858) 349-0719
NPI assigned
Dec 28, 2022
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 88150 CA Primary

Addresses

Primary practice location

5775 Enfield Ave
Encino, CA 91316-1036

Mailing address

5665 Wilshire Blvd # 1497
Los Angeles, CA 90036-3710
Phone (310) 425-3609

Other identifiers 1

IdentifierTypeStateIssuer
88150OtherCALCSW

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

LicenseStateTypeSpecialty
88150CAMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1164135745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 WILSHIRE BLVD # 1497",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363710",
            "telephone_number": "310-425-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 ENFIELD AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161036",
            "telephone_number": "858-349-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALINE",
        "first_name": "MALIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "88150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.