Active NPI
Malaika Jamila Richard, LICSW
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1326219189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080275
- Practice address
- 817 Woodrow Street
Suite 305
Columbia, SC 29205 - Phone
- (803) 569-1789
- Fax
- (803) 462-4972
- NPI assigned
- Mar 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 576000922 | SC | |
| Clinical Social Worker | 1041C0700X | LC50080275 | DC | Primary |
Addresses
Primary practice location
817 Woodrow Street
Suite 305
Columbia, SC 29205
Mailing address
1801 McCormick Dr
Suite 108
Largo, MD 20774-5326
Phone (301) 883-0866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000641104 | Other | SC | WORKER'S COMP |
| 322842 | Medicaid | SC |
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 |
|---|---|---|---|
| LC50080275 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1326219189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 MCCORMICK DR",
"address_2": "SUITE 108",
"city": "LARGO",
"state": "MD",
"postal_code": "207745326",
"telephone_number": "301-883-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 WOODROW STREET",
"address_2": "SUITE 305",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29205",
"telephone_number": "803-569-1789",
"fax_number": "803-462-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "MALAIKA",
"middle_name": "JAMILA",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "576000922",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "3000641104",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322842",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Richalnd Northeast Dental Associates,LLC
- Richard Counseling Services, PLLC
- Richard L. Sribnick, M.D., P.a.
- Autumn Elizabeth Richard, ECI
- Lesley Nicole Richard, MBA, MNA, CRNA
- Shaletha L Richard
- Caleb Richards, D.O.
- Michael D. Richards, PA-C
- Rachel H Richards, MCD, CCC-SLP
- Addison Ronald Richardson, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.