Mary Antoinette Malanowski, LCSW C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

07393 Issued in MD

Practice address

336 South Main Street Ste 1 a
Bel Air, MD 21014

Phone

(410) 893-0995

Fax

(410) 339-7169

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mrs. Mary Antoinette Palm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strong Connections Therapy, LLC

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  • Towson, MD
  • NPI 1982350674
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710040084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MAGDOLENA RD",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-866-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SOUTH MAIN STREET STE 1 A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-893-0995",
            "fax_number": "410-339-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANOWSKI",
        "first_name": "MARY",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "07393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6248839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "58050002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "226037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "078344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PALM",
            "middle_name": "ANTOINETTE",
            "prefix": "MRS.",
            "credential": "LCSW C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Syed Farid Mahmood, MD
• Richard B Mahnke, MPT
• Thu Viet Mai, DDS
• Maureen Maisel
• Rekha Tejash Maisuria
• Sarah Elizabeth Malatesta
• Kathryn Jean Malenfant, DNP
• Amanda Nicole Malinou, MD
• Malyka Inc. (North Park Discount Pharmacy)
• Lillian Man, MD

• Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.