Malkia DJ Kendricks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW223682 Issued in MA

Practice address

239 Emerald St
Malden, MA 02148-6310

Phone

(781) 605-5723

NPI assigned

Dec 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1235907544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 EMERALD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486310",
            "telephone_number": "781-605-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 EMERALD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486310",
            "telephone_number": "781-605-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICKS",
        "first_name": "MALKIA",
        "middle_name": "DJ",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW223682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kellogg
• Andrea Manning Kelly, LMHC
• Heather Kelly
• Erica Kelman
• Laurence Henry Kendall, D.C.
• Emma Kennedy
• Tessa Kennedy
• Kensom Solutions, LLC
• Grace Elizabeth Keogh
• Manoushka Fabienne Kernizan, LPN

• Clinical Social Worker in Malden, MA
• Providers in Malden, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.