Individual provider Active NPI

Andrea Wasser Malmud, LCSW

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1467519066
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00177300 Issued in NJ
Practice address
1259 Route 46
Parsippany, NJ 07054-4913
Phone
(973) 316-9333
Fax
(973) 839-4770
NPI assigned
Jan 2, 2007
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00177300 NJ Primary

Addresses

Primary practice location

1259 Route 46
Parsippany, NJ 07054-4913

Mailing address

1259 Route 46
Parsippany, NJ 07054-4913
Phone (973) 316-9333

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00177300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newbridge Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1467519066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-316-9333",
            "fax_number": "973-839-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-316-9333",
            "fax_number": "973-839-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSER MALMUD",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00177300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.