Active NPI
Malka Miller
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1194289512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093395-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093395-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamaspik of Kings County, Inc. | Current | 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.
-
- Case Management Agency
- Brooklyn, NY
- NPI 1700120888
-
- Developmental Disabilities Clinic/Center
- Brooklyn, NY
- NPI 1730859976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.