Active NPI
Kanisha Iyonna Malone
- School Social Worker
- Columbus, OH
National Provider Identifier
1548043540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- S.2208163
- Practice address
- 1329 Bethel Rd
Columbus, OH 43220-2611 - Phone
- (502) 416-4440
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | S.2208163 | OH | Primary |
Addresses
Primary practice location
1329 Bethel Rd
Columbus, OH 43220-2611
Mailing address
1329 Bethel Rd
Columbus, OH 43220-2611
Phone (502) 416-4440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2208163 | OH | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1548043540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202611",
"telephone_number": "502-416-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202611",
"telephone_number": "502-416-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "KANISHA",
"middle_name": "IYONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "OH",
"license": "S.2208163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.