Individual provider Active NPI

Malina Pauline, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1558947879
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927259 Issued in CO
Practice address
1133 N Lincoln St
Denver, CO 80203-2110
Phone
(303) 832-6622
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927259 CO Primary

Addresses

Primary practice location

1133 N Lincoln St
Denver, CO 80203-2110

Mailing address

PO Box 61385
Denver, CO 80206-8385
Phone (303) 832-6622

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thirdwaycenter.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927259COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1558947879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61385",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802068385",
            "telephone_number": "303-832-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N LINCOLN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032110",
            "telephone_number": "303-832-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINE",
        "first_name": "MALINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thirdwaycenter.org",
            "affiliation": "N",
            "address_1": "1133 N Lincoln St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802032110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.