Eleanor M Maley, LISW -S LICDC-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

944072 Issued in OH

Practice address

909 Sycamore St
Cincinnati, OH 45202-1305

Phone

(513) 618-4217

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Family Service of the Cincinnati Area

  • Public Health or Welfare Agency
  • Cincinnati, OH
  • NPI 1356325872
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1508931296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021305",
            "telephone_number": "513-618-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021305",
            "telephone_number": "513-618-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEY",
        "first_name": "ELEANOR",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LISW -S   LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "944072",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I7005   944072",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Marie Malcolm, PA-C
• Alberto Maldonado, MD
• Elise Malehorn, PHARMD
• Mwamba Tchafu Malekani, MD
• Carlyn Jean Malenfant, DMD
• Matthew James Maley, PSY.D.
• Vidhata Patel Malhotra
• Charlotte Maliborski
• Faizan Malik, MD
• Inayat K Malik, MD

• Addiction (Substance Use Disorder) Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.