Katherine L Mallais, M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080020 Issued in NY

Practice address

1170 Main St FL 4
Buffalo, NY 14209-2380

Phone

(716) 883-1914

Fax

(716) 883-7637

NPI assigned

Jun 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jewish Family Services of Western New YorkGroup PAC ID 3173509593, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Jewish Family Services of Western New York

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1932139300
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1659530582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST FL 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092380",
            "telephone_number": "716-883-1914",
            "fax_number": "716-883-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST FL 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092380",
            "telephone_number": "716-883-1914",
            "fax_number": "716-883-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAIS",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehma Malik
• Shaveta Malik, MD
• Gretchen Lynn Malikowski, M.D.
• Christopher Malinowski, LMSW
• Tina Mallaber
• Kanwaldeep K Mallhi, MD
• Amber Mallick, MD
• Anik Anakin Kumar Mallick, MBCHB
• Hammad Ahmed Mallick, MSW
• Emily Mallone

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.