Individual provider Active NPI

Norma Lucia Malkiel, LSW, CCM

  • Social Worker
  • Cambridge, MA
National Provider Identifier
1689184590
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
163 Gore St
Cambridge, MA 02141-1119
Phone
(617) 575-5850
Fax
(617) 499-8360
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

163 Gore St
Cambridge, MA 02141-1119

Mailing address

314 Newtonville Ave Apt 3
Newtonville, MA 02460-2049
Phone (617) 512-7141

Other identifiers 2

IdentifierTypeStateIssuer
4212629OtherCERTIFIED CASE MANAGER- CCM
313744OtherMALICENSED SOCIAL WORKER

Other names 1

  • Mrs. Norma Lucia Malkiel Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689184590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NEWTONVILLE AVE APT 3",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024602049",
            "telephone_number": "617-512-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 GORE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411119",
            "telephone_number": "617-575-5850",
            "fax_number": "617-499-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIEL",
        "first_name": "NORMA",
        "middle_name": "LUCIA",
        "credential": "LSW, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED CASE MANAGER- CCM",
            "identifier": "4212629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "313744",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "MALKIEL",
            "middle_name": "LUCIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.