Individual provider Active NPI

Diane Bers Malkin, LCSW

  • Clinical Social Worker
  • Ardsley, NY
National Provider Identifier
1588964597
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078081 Issued in NY
Practice address
545 Saw Mill River Rd Ste 3C-4
Ardsley, NY 10502-2157
Phone
(914) 920-7135
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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 078081 NY Primary

Addresses

Primary practice location

545 Saw Mill River Rd Ste 3C-4
Ardsley, NY 10502-2157

Mailing address

102 Huntley Dr
Ardsley, NY 10502-1614
Phone (917) 881-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000256 NY Practitioner - Clinical Social Worker 3577738020 Practice locations: Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Huntley Dr
Ardsley, NY 10502-1614

545 Saw Mill River Rd
Suite 3C
Ardsley, NY 10502-2159
Phone (917) 881-0168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078081NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1588964597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HUNTLEY DR",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021614",
            "telephone_number": "917-881-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER RD STE 3C-4",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022157",
            "telephone_number": "914-920-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "DIANE",
        "middle_name": "BERS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.