Individual provider Active NPI

Carolyn Malkowski, LMSW CASAC

  • Social Worker
  • Levittown, NY
National Provider Identifier
1194862201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11511 Issued in NY
Practice address
Yours Ours Mine Community Center Inc
Levittown, NY 11756
Phone
(516) 796-6633
Fax
(516) 796-6663
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11511 NY Primary

Addresses

Primary practice location

Yours Ours Mine Community Center Inc
Levittown, NY 11756

Mailing address

39 Rope Lane
Levittown, NY 11756
Phone (516) 731-2674

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
I20180226001313 NY Practitioner - Clinical Social Worker 9032470554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Counseling LCSW PCGroup PAC ID 5092024992, 2 clinicians

Practice addresses (Care Compare)

75 Longfellow Dr
Kings Park, NY 11754-2344
Phone (516) 313-2899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11511NYMDSocial Worker
055289NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Counseling LCSW PC CurrentSince Jul 6, 2020 Accepting new patients

Locations

22 Lawrence Ave
Ste 213
Smithtown, NY 11787
Phone (631) 265-0877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194862201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ROPE LANE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-731-2674",
            "fax_number": "516-731-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YOURS OURS MINE COMMUNITY CENTER INC",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-796-6633",
            "fax_number": "516-796-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKOWSKI",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LMSW CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.