Active NPI
Thomas Malone
- School Social Worker
- Gallup, NM
National Provider Identifier
1679979868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- X-08961
- Practice address
- 1000 E Aztec Ave
Gallup, NM 87301-5509 - Phone
- (505) 721-1856
- NPI assigned
- Nov 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | X-08961 | NM | Primary |
Addresses
Primary practice location
1000 E Aztec Ave
Gallup, NM 87301-5509
Mailing address
PO Box 264
Gallup, NM 87305-0264
Phone (505) 906-5291
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-08961 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallup McKinley County Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Gallup, NM
- NPI 1730210113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1679979868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 264",
"city": "GALLUP",
"state": "NM",
"postal_code": "873050264",
"telephone_number": "505-906-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E AZTEC AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015509",
"telephone_number": "505-721-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "X-08961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.