Active NPI
Vaswati Mallik, LCSW
- Clinical Social Worker
- Scotch Plains, NJ
National Provider Identifier
1194410779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4 Ditzel Farm Rd
Scotch Plains, NJ 07076-2946 - Phone
- (908) 938-5388
- NPI assigned
- Apr 10, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06311800 | NJ | |
| Clinical Social Worker | 1041C0700X | LC23914 | ME | |
| Clinical Social Worker | 1041C0700X | 095498 | NY | |
| Clinical Social Worker | 1041C0700X | Q1-0012461 | DE | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4 Ditzel Farm Rd
Scotch Plains, NJ 07076-2946
Mailing address
4 Ditzel Farm Rd
Scotch Plains, NJ 07076-2946
Phone (267) 848-9622
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 |
|---|---|---|---|
| Q1-0012461 | DE | MD | Clinical Social Worker |
| LC23914 | ME | MD | Clinical Social Worker |
| 44SC06311800 | NJ | MD | Clinical Social Worker |
| 095498 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1194410779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DITZEL FARM RD",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762946",
"telephone_number": "267-848-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DITZEL FARM RD",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762946",
"telephone_number": "908-938-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLIK",
"first_name": "VASWATI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06311800",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC23914",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095498",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0012461",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.