Active NPI
Latoya Renee Malone, LCSW
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1336096379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149030949
- Practice address
- 1371 Collingswood Dr
Rockford, IL 61103-8957 - Phone
- (815) 721-4162
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149030949 | IL | Primary |
Addresses
Primary practice location
1371 Collingswood Dr
Rockford, IL 61103-8957
Mailing address
1371 Collingswood Dr
Rockford, IL 61103-8957
Phone (815) 721-4162
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 |
|---|---|---|---|
| 149030949 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1336096379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 COLLINGSWOOD DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611038957",
"telephone_number": "815-721-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 COLLINGSWOOD DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611038957",
"telephone_number": "815-721-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "LATOYA",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149030949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.