Active NPI
Malky Shaulson, LCSW
- Clinical Social Worker
- Lakewood, NJ
National Provider Identifier
1346551355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070738-1
- Practice address
- 58 Enclave Blvd
Lakewood, NJ 08701-5783 - Phone
- (718) 757-9290
- NPI assigned
- Jun 24, 2010
- 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 | 070738-1 | NY | Primary |
Addresses
Primary practice location
58 Enclave Blvd
Lakewood, NJ 08701-5783
Mailing address
58 Enclave Blvd
Lakewood, NJ 08701-5783
Phone (718) 757-9290
Other practice location 1
1227 - 56 St
Brooklyn,, NY 11219
Phone (718) 757-9290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1771 Madison Ave
Lakewood, NJ 08701-1251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070738-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
Interoperability endpoints
- malky.shaulson@chemed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1346551355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 ENCLAVE BLVD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015783",
"telephone_number": "718-757-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 ENCLAVE BLVD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015783",
"telephone_number": "718-757-9290"
}
],
"practiceLocations": [
{
"address_1": "1227 - 56 St",
"address_purpose": "LOCATION",
"city": "Brooklyn,",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "718-757-9290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAULSON",
"first_name": "MALKY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070738-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.