Naama Poker-Malkesman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122098 Issued in MA

Practice address

40 Spring St Ste 215
Watertown, MA 02472-3474

Phone

(617) 299-9956

Fax

(844) 238-9457

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Mindfulness and Change Group, LLC

  • Cognitive & Behavioral Psychologist
  • Watertown, MA
  • NPI 1497261481
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1427462837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRING ST STE 215",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "617-299-9956",
            "fax_number": "844-238-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING ST STE 215",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "617-299-9956",
            "fax_number": "844-238-9457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3018 Javier Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314609",
            "country_code": "US",
            "telephone_number": "703-204-9100",
            "fax_number": "703-204-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POKER-MALKESMAN",
        "first_name": "NAAMA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelina Phuah
• Jenna D Picton, PHARMD
• Alicia Pierson, PTA
• Kayla Pinto
• Theresa A Plante, LIC. AC.
• Rosemary E Pomponio, M.D.
• Scott Thomas Pond, R.PH., MPA
• Elizabeth Trask Porter, LICSW
• Jennifer McCall Potter, LICSW
• Jessica Pratt

• Clinical Social Worker in Watertown, MA
• Providers in Watertown, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.