Individual provider Active NPI

Kerrick Malone, LCSW

  • Clinical Social Worker
  • Vestavia Hills, AL
National Provider Identifier
1669817870
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2437C Issued in AL
Practice address
600 Century Park S Ste 200
Vestavia Hills, AL 35226-3931
Phone
(615) 498-4174
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 2437C AL Primary

Addresses

Primary practice location

600 Century Park S Ste 200
Vestavia Hills, AL 35226-3931

Mailing address

504 Lakeshore Dr
Birmingham, AL 35209-6712
Phone (615) 498-4174

Other practice location 1

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763
Phone (615) 498-4174

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2437CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kerri Malone, Licsw, LLC Clinical CurrentSince Sep 5, 2023 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

400 Vestavia Pkwy
Ste 406
Vestavia, AL 35216
Phone (205) 379-0995

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1669817870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKESHORE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096712",
            "telephone_number": "615-498-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTURY PARK S STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352263931",
            "telephone_number": "615-498-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Vestavia Pkwy Ste 406",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352163763",
            "country_code": "US",
            "telephone_number": "615-498-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KERRICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2437C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.