Active NPI
Michaela Malone
- Social Worker
- Lake Forest, IL
National Provider Identifier
1376190132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114453
- Practice address
- 225 E Deerpath Ste 280
Lake Forest, IL 60045-1973 - Phone
- (847) 796-6400
- NPI assigned
- Aug 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114453 | IL | Primary |
Addresses
Primary practice location
225 E Deerpath Ste 280
Lake Forest, IL 60045-1973
Mailing address
225 E Deerpath Ste 280
Lake Forest, IL 60045-1973
Phone (847) 796-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.114453 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1376190132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E DEERPATH STE 280",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451973",
"telephone_number": "847-796-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E DEERPATH STE 280",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451973",
"telephone_number": "847-796-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "MICHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.