NPIMap

Organization Active NPI

Rebecca Perbix Mallos MSW Inc

  • Clinical Social Worker
  • Kirkland, WA
National Provider Identifier
1295881126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 00004346 Issued in WA
Legal business name
REBECCA PERBIX MALLOS MSW INC
Doing business as
Rebecca Perbix Mallos MSW
Practice address
8011 118TH Ave NE
Kirkland, WA 98033
Phone
(425) 889-8524
Fax
(425) 576-8274
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rebecca Perbix Mallos, MSW
Title
President
Phone
(425) 889-8524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LW 00004346 WA Primary

Addresses

Primary practice location

8011 118TH Ave NE
Kirkland, WA 98033

Mailing address

8011 118TH Ave NE
Kirkland, WA 98033
Phone (425) 889-8524

Other names 1

  • Rebecca Perbix Mallos MSW Doing business as

National Provider Directory

National Provider Directory

Locations

8011 118th Ave NE
Kirkland, WA 98033
Phone (425) 889-8524

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295881126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 118TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-889-8524",
            "fax_number": "425-576-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 118TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-889-8524",
            "fax_number": "425-576-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA PERBIX MALLOS MSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLOS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "PERBIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-889-8524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00004346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Perbix Mallos MSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.