Active NPI
Victoria Malone, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1396441994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62743
- Practice address
- 6115 Camp Bowie Blvd Ste 298
Fort Worth, TX 76116-5508 - Phone
- (817) 989-9402
- NPI assigned
- Feb 6, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801120951 | MI | |
| Clinical Social Worker | 1041C0700X | 149031295 | IL | |
| Clinical Social Worker | 1041C0700X | 62743 | TX | Primary |
Addresses
Primary practice location
6115 Camp Bowie Blvd Ste 298
Fort Worth, TX 76116-5508
Mailing address
3205 Marie LN
Fort Worth, TX 76123-2019
Phone (682) 325-1432
Other practice location 1
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone (323) 205-7088
Other practice location 2
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (682) 325-1432
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 |
|---|---|---|---|
| 62743 | TX | MD | Professional Counselor |
| 149031295 | IL | MD | Clinical Social Worker |
| 6801120951 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1396441994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 MARIE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232019",
"telephone_number": "682-325-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 CAMP BOWIE BLVD STE 298",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165508",
"telephone_number": "817-989-9402"
}
],
"practiceLocations": [
{
"address_1": "400 Renaissance Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431599",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Balcones Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787314298",
"country_code": "US",
"telephone_number": "682-325-1432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801120951",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149031295",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.