Deborah Fay Malik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089154 Issued in NY

Practice address

1387 Chews Landing Rd
Clementon, NJ 08021-2760

Phone

(856) 454-3104

NPI assigned

Aug 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah Fay Shatzkamer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Harmony Bay Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel Springs, NJ
  • NPI 1124663059
  NPD
• The New York and Presbyterian Hospital

  dba NewYork-Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1609284785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-454-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-454-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "DEBORAH",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SHATZKAMER",
            "middle_name": "FAY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Lunemann
• Nicole Macapagal
• Kadie Macdonald, LPC
• Colleen Mackenzie, ATC
• Ruth S Mackenzie, MSN APN PMHNP-BC
• Jeanmarie Maresh
• James Vincent Marmo, DMD
• Kari Mastromonica
• William Mattioli, RPH
• Mamie Mayhugh, LSW

• Clinical Social Worker in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.