Krista Malbouef, LICSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082428 Issued in DC

Practice address

1375 Kenyon St NW Apt 215
Washington, DC 20010-7206

Phone

(810) 751-6579

NPI assigned

May 2, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1508613076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 KENYON ST NW APT 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200107206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 KENYON ST NW APT 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200107206",
            "telephone_number": "810-751-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBOUEF",
        "first_name": "KRISTA",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladifatou Malane Pempeme
• Azeb Malase
• James Joseph Malatack, M.D.
• Virginia Jackson Malatack, M.D.
• Christine Y Malati, PHARMD
• Abigail Janielle Malcolm Ramos
• Elizabeth Malcolm, PSYD
• Petrice D Malcolm
• Sharyn Malcolm, M.D./ M.P.H.
• Rosa Maldonado Flores

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.