Active NPI
Malika Danielle Neal, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1336686583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P010936
- Practice address
- 3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179 - Phone
- (980) 302-8850
- Fax
- (704) 316-8118
- NPI assigned
- Jan 26, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C011758 | NC | |
| Clinical Social Worker | 1041C0700X | P010936 | NC | Primary |
Addresses
Primary practice location
3545 Whitehall Park Dr Ste 300
Charlotte, NC 28273-4179
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
5104 Reagan Dr
Charlotte, NC 28206-1396
Phone (704) 596-0505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mneal317316@direct.novanthealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C011758 | NC | MD | Clinical Social Worker |
| P010936 | NC | MD | Clinical Social Worker |
Interoperability endpoints
- mneal317316@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1336686583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 WHITEHALL PARK DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734179",
"telephone_number": "980-302-8850",
"fax_number": "704-316-8118"
}
],
"practiceLocations": [
{
"address_1": "5104 Reagan Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282061396",
"country_code": "US",
"telephone_number": "704-596-0505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "MALIKA",
"middle_name": "DANIELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011758",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P010936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mneal317316@direct.novanthealth.org",
"affiliation": "N",
"address_1": "3545 Whitehall Park Dr Ste 300",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282734179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.