Individual provider Active NPI

Patrycja Anna Malinowska, LCSW

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1164843801
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 29507 Issued in CA
Practice address
120 E Chevy Chase Dr Unit 251552
Glendale, CA 91225-8078
Phone
(323) 717-4160
Fax
(818) 275-3654
NPI assigned
Dec 24, 2013
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 LCS 29507 CA Primary

Addresses

Primary practice location

120 E Chevy Chase Dr Unit 251552
Glendale, CA 91225-8078

Mailing address

120 E Chevy Chase Dr Unit 251552
Glendale, CA 91225-8078
Phone (323) 717-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 29507CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Encounter Group Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1164843801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E CHEVY CHASE DR UNIT 251552",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912258078",
            "telephone_number": "323-717-4160",
            "fax_number": "818-275-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CHEVY CHASE DR UNIT 251552",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912258078",
            "telephone_number": "323-717-4160",
            "fax_number": "818-275-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKA",
        "first_name": "PATRYCJA",
        "middle_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-24",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 29507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.