Audrey Lorraine Malcolm, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

077775 Issued in NY

Practice address

83 E Main St
Bay Shore, NY 11706-8305

Phone

(347) 645-7202

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Butterfly LCSW PC

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1023349297
  NPD

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1588974331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229-47 129TH AVENUE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132209",
            "telephone_number": "347-645-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068305",
            "telephone_number": "347-645-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "AUDREY",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Maiman
• Main Street Medical, PC
• Joshua Maisonave
• Sumreen Majeed, M.D.
• Kathleen M. Makarius, PA
• Prashant Malhotra, MD
• Shan Malik, MD
• Manal Hegazy MD PC
• Gaurav Mandal, MD
• Samantha Brooke Mandell, PA-C, MPH, MPAS

• Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.