Kerry Leddy Malawista, MSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001279 Issued in VA

Practice address

6842 Elm St
Suite 104
MC Lean, VA 22101-3891

Phone

(703) 734-1100

NPI assigned

Feb 20, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kerry L. Malawista, PH.D.

  • Clinical Social Worker
  • Potomac, MD
  • NPI 1598117053
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1407395791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-734-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-734-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAWISTA",
        "first_name": "KERRY",
        "middle_name": "LEDDY",
        "name_prefix": "Dr.",
        "credential": "MSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001279",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "5259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Mahood, M.S. SLP-CF
• Majkogroup LLC
• Helen Marie Makriyianis
• Sara Malas
• Sandra Cheryl Malawer
• Maleka Walters LLC
• Elizabeth A Malin
• Abigail Mameghani
• Melanie Mandak
• Liliana Manrique

• Clinical Social Worker in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.