Individual provider Active NPI

Malin McKinley, B.A.

  • Social Worker
  • Agoura Hills, CA
National Provider Identifier
1619008307
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
28720 Canwood St Ste 204
Agoura Hills, CA 91301
Phone
(747) 334-2494
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

28720 Canwood St Ste 204
Agoura Hills, CA 91301

Mailing address

28720 Canwood St Ste 204
Agoura Hills, CA 91301-4505
Phone (747) 334-2494

Other practice location 1

3745 Liberty Canyon Rd
Agoura Hills, CA 91301-3504
Phone (310) 603-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1619008307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 CANWOOD ST STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014505",
            "telephone_number": "747-334-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 CANWOOD ST STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "747-334-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 LIBERTY CANYON RD",
            "address_purpose": "LOCATION",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013504",
            "country_code": "US",
            "telephone_number": "310-603-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "MALIN",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.