Jack Maloney, LCSW- CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 9020 Issued in FL

Practice address

4125 Grand Meadows Blvd
Melbourne, FL 32934-2948

Phone

(321) 305-2766

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1669533857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 GRAND MEADOWS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342948",
            "telephone_number": "321-305-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 GRAND MEADOWS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342948",
            "telephone_number": "321-305-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JACK",
        "credential": "LCSW- CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia R. Mallette, D.P.M.
• Keenan Ane Mallory, LCSW
• Bethany Malone
• Evadne Malone, BCBA
• Maria Malone, CLC
• Joan Mamey, SP
• Gabriele Elisabeth Mamone, M.ED, ED.S.
• Joseph Robert Manarino
• Mancala Holdings, LLC
• Sharon Ann Mandaville, BS

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.