Individual provider Active NPI

Valerie Roedenbeck Maloof, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1629543657
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102829 Issued in MI
Practice address
103 E Liberty St
Ann Arbor, MI 48104-2157
Phone
(312) 342-8222
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801102829 MI Primary

Addresses

Primary practice location

103 E Liberty St
Ann Arbor, MI 48104-2157

Mailing address

2449 Nottingham Rd
Ann Arbor, MI 48104-5030
Phone (312) 342-8222

Other identifiers 1

IdentifierTypeStateIssuer
6801102829OtherMILLMSW

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
6801102829MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1629543657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 NOTTINGHAM RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045030",
            "telephone_number": "312-342-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042157",
            "telephone_number": "312-342-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOOF",
        "first_name": "VALERIE",
        "middle_name": "ROEDENBECK",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLMSW",
            "identifier": "6801102829",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.