Jennifer Malec, MSW, LCSW, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05478800 Issued in NJ

Practice address

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Phone

(973) 831-3540

Fax

(973) 831-3503

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1477874808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 RESEARCH PARK DR FL 4",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284873",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Smull Ave",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067932",
            "country_code": "US",
            "telephone_number": "973-334-3496 x418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Smull Ave",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067932",
            "country_code": "US",
            "telephone_number": "973-334-3496 x418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEC",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05478800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.