Individual provider Active NPI

Mariel Ruiz Malagon, ACSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1619772241
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW124458 Issued in CA
Practice address
2617 K St Ste 125
Sacramento, CA 95816-5133
Phone
(916) 633-0854
NPI assigned
Feb 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW124458 CA Primary

Addresses

Primary practice location

2617 K St Ste 125
Sacramento, CA 95816-5133

Mailing address

2617 K St Ste 125
Sacramento, CA 95816-5133
Phone (916) 409-3712

Other names 1

  • Ms. Mariel Ruiz Malagon Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW124458CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1619772241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 K ST STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165133",
            "telephone_number": "916-409-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 K ST STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165133",
            "telephone_number": "916-633-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MALAGON",
        "first_name": "MARIEL",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW124458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "RUIZ MALAGON",
            "prefix": "MS.",
            "credential": "ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.