Active NPI
Alyssa Mallia
- Clinical Social Worker
- Nashville, TN
National Provider Identifier
1629553193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1 Vantage Way Ste E130
Nashville, TN 37228-1591 - Phone
- (615) 988-4763
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | Primary |
Addresses
Primary practice location
1 Vantage Way Ste E130
Nashville, TN 37228-1591
Mailing address
4220 Harding Pike
Nashville, TN 37205-2005
Phone (917) 494-9407
Other practice location 1
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1629553193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 HARDING PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052005",
"telephone_number": "917-494-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VANTAGE WAY STE E130",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281591",
"telephone_number": "615-988-4763"
}
],
"practiceLocations": [
{
"address_1": "950 S Oyster Bay Rd",
"address_purpose": "LOCATION",
"city": "Hicksville",
"state": "NY",
"postal_code": "118013510",
"country_code": "US",
"telephone_number": "516-822-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLIA",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.