William Smith Malloy Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801015913 Issued in MI

Practice address

103 West U.S. 2
Wakefield, MI 49968

Phone

(906) 229-6120

NPI assigned

Dec 6, 2006

Last updated

Oct 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1508925884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499380422",
            "telephone_number": "906-932-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST U.S. 2",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "49968",
            "telephone_number": "906-229-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "WILLIAM",
        "middle_name": "SMITH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK",
            "identifier": "2087-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "6801015913",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lew Laukka
• Michele Lehto
• Monica Lemerond, LLMSW
• Lisa Christine Leppala, RN
• Richard Jay Maher
• Marissa Jade Massi
• Tara Marie Miller
• Lea Miskovich, RN
• Nicole Nasi
• Jan N Neal-Cools, MD

• Clinical Social Worker in Wakefield, MI
• Providers in Wakefield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.