Alison Lisa Malkin, LICSW
Individual provider Active NPI Clinical Social Worker · Newtonville, MA
NPI 1679050561 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1679050561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1018839 (MA)
- Practice address
- 457 Walnut St
Newtonville, MA 02460-2224 - Phone
- (617) 559-6237
- Fax
- (617) 559-6204
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018839 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1018839 | MA | Yes |
Addresses
Primary practice location
457 Walnut St
Newtonville, MA 02460-2224
Mailing address
2 Meadowbrook Rd
Bedford, MA 01730-1315
Phone (781) 275-1962
Other providers in Newtonville, MA
- William Henry Livingston
- Lorraine Hursey Deng, Licsw, LLC
- Laura Fuchs Lubin
- Nancy Macias-Smith
- Laura Maglio
- William McAndrews
- Robert Mirandola
- Lauren Montano
- Liane Elizabeth Moses
- Mt Ida Rest Home, Inc.
All providers in Newtonville, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.