Individual provider Active NPI

Malka Miller

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1194289512
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093395-1 Issued in NY
Practice address
649 39TH St
Brooklyn, NY 11232-3101
Phone
(718) 851-3300
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinical Social Worker 1041C0700X 093395-1 NY Primary
Specialist 174400000X

Addresses

Primary practice location

649 39TH St
Brooklyn, NY 11232-3101

Mailing address

5113 9TH Ave
Brooklyn, NY 11220-2905
Phone (718) 928-5743

Other practice location 1

116 W 32nd St
New York, NY 10001-3212
Phone (212) 564-2350

Other practice location 2

1333 60th St
Brooklyn, NY 11219-5019
Phone (718) 304-0900

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
I20210615001697 NY Practitioner - Clinical Social Worker 6103226014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093395-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Kings County, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Hamaspik of Kings County Case Management Current Accepting new patients

Locations

4102 14th Ave
Fl 2
Brooklyn, NY 11219
Phone (718) 387-8400

Organizations & group practices 2

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1194289512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 9TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202905",
            "telephone_number": "718-928-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323101",
            "telephone_number": "718-851-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013212",
            "country_code": "US",
            "telephone_number": "212-564-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 60th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112195019",
            "country_code": "US",
            "telephone_number": "718-304-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MALKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093395-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.