Shanita Leonna Abrahams Malcolm, LCSW
Individual provider Active NPI Clinical Social Worker · Boston, MA
NPI 1679458236 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1679458236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 830 Harrison Ave
Boston, MA 02118-2905 - Phone
- (617) 638-7147
- NPI assigned
- Aug 11, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
830 Harrison Ave
Boston, MA 02118-2905
Mailing address
1027 Southern Artery Apt 405
Quincy, MA 02169-8300
Other providers in Boston, MA
- June Antoinette Abraham
- Karan Abraham
- Melissa Ellen Abraham
- Stephen A Abraham
- Lori A Abrahamian
- Martin J Abrahamson
- Orit Abrahim
- Janet Lee Abrahm
- Shari Abramowitz
- Annah Naomi Abrams
All providers in Boston, 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 Aug 11, 2025. 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.