Daniel Malloy-Good

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW005701L Issued in PA

Practice address

45 Darby Rd Ste F
Paoli, PA 19301

Phone

(484) 321-6156

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Daniel Malloy-Good

  • Clinical Social Worker
  • Paoli, PA
  • NPI 1871097519
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1609988971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DARBY RD STE F",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "484-321-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DARBY RD STE F",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "484-321-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY-GOOD",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW005701L",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7563295",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "230499000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0476410000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Main Line Hospitals, Inc. (Paoli Hospital)
• Main Line Internal Medicine LLC
• Main Line Neuropsychology, PLLC
• Main Line Treatment, LLC
• Mainline Center for Oral & Facial Surgery LTD
• Beth Mallozzi-Roberts, DO
• Frances Marie Maniscalco, AGAC-CRNP, MSN, BSN
• Bilal Arshad Mannan, M.D.
• Kevin A Mansmann, MD
• Angelo Joseph Marino

• Clinical Social Worker in Paoli, PA
• Providers in Paoli, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.