Active NPI
Dina Malek-Moreno, LCSW
- Clinical Social Worker
- Turlock, CA
National Provider Identifier
1407982655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21883
- Practice address
- 384 E Olive Ave Ste 1
Turlock, CA 95380 - Phone
- (209) 252-6658
- Fax
- (209) 633-5742
- NPI assigned
- Feb 24, 2007
- 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 | 21883 | CA | Primary |
Addresses
Primary practice location
384 E Olive Ave Ste 1
Turlock, CA 95380
Mailing address
384 E Olive Ave Ste 1
Turlock, CA 95380-4051
Phone (209) 252-6658
Other names 1
- Dina Malek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110624000116 | CA | Practitioner - Clinical Social Worker | 2961680889 | Practice locations: Turlock, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
384 E Olive Ave
Suite 1
Turlock, CA 95380-4051
Phone (209) 252-6658
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21883 | CA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1407982655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 E OLIVE AVE STE 1",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953804051",
"telephone_number": "209-252-6658",
"fax_number": "209-633-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 E OLIVE AVE STE 1",
"city": "TURLOCK",
"state": "CA",
"postal_code": "95380",
"telephone_number": "209-252-6658",
"fax_number": "209-633-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK-MORENO",
"first_name": "DINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINA",
"last_name": "MALEK",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.