Susannah Mallon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05627200 Issued in NJ

Practice address

36 Kresson Rd
Cherry Hill, NJ 08034-3227

Phone

(856) 693-4192

NPI assigned

Sep 11, 2016

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Family Solutions LLCGroup PAC ID 4587935473, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Total Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Voorhees, NJ
  • NPI 1528592953

  NJ

  Medicare reassignment Care Compare group NPD
• Falcon Counseling Services, LLC

  • Community/Behavioral Health Agency
  • National Park, NJ
  • NPI 1578003075

  NJ

  Medicare reassignment Authorized official
• JLS Medical PC

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164007043

  NJ

  Medicare reassignment NPD
• Falcon Counseling Services

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1700490042

  Clinical

  NPD Authorized official
• Total Family Solutions, LLC

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1508336140
  NPD
• Total Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Vineland, NJ
  • NPI 1649710609
  NPD
• Bancroft, a New Jersey Nonprofit Corporation

  • Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1720121106
  NPD (past)
• Total Family Solutions, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Avenel, NJ
  • NPI 1740691443
  NPD (past)

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1609324334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROZIER AVE",
            "city": "NATIONAL PARK",
            "state": "NJ",
            "postal_code": "080631512",
            "telephone_number": "856-693-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KRESSON RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343227",
            "telephone_number": "856-693-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLON",
        "first_name": "SUSANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05627200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Carolyn Malecka, RNFA
• Inez Malenbaum, LPC
• Sidney P Maletzky, D.O.
• Kiran Sumerna Malik, D.D.S
• Dipakkumar Purushottam Malli, MD
• Julia Malpass, MS, OTR/L
• Raymond J Malta, DO
• Aby Malyil, BDS, MDS, DMD
• Tia Mancini, M.S. CCC-SLP
• Rechileen S Mandanas, PT

• All providers in Cherry Hill, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.