Michelle Malandrenias, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05674000 Issued in NJ

Practice address

395 Grand St
2ND Floor
Jersey City, NJ 07302-4238

Phone

(201) 915-2000

Fax

(201) 915-2269

NPI assigned

Feb 6, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Confidential Behavioral Care

  • Mental Health Counselor
  • Plainfield, NJ
  • NPI 1508054305
  Medicare reassignment NPD

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1295273761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EASTERN STATES PKWY",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762632",
            "telephone_number": "973-715-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 GRAND ST",
            "address_2": "2ND FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024238",
            "telephone_number": "201-915-2000",
            "fax_number": "201-915-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANDRENIAS",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-01-13",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05674000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barno Makhamadalieva, NP
• Demetrios Makrikostas
• Vinky Makwana
• Mina Milad Malaak, PHARM.D
• Martha Jane Malana, MA,ATR-BC,LCAT,LPC
• Vivina Corteza Malantic, M.D.
• Amit Malhotra, M.D.
• Dipty Mali, PT
• Peter Christopher Maliani, LAC
• Malik Medical Associates USA Inc

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.

Verify at the official NPI Registry.