Malik Ashhali, LCSW, LCAS, MAC, CSI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009966 Issued in NC

Practice address

3126 Milton Rd Ste 233
Charlotte, NC 28215-3782

Phone

(704) 817-9120

Fax

(855) 299-3536

NPI assigned

Dec 12, 2012

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Village Behavioral Healthcare Services, Inc

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  • Charlotte, NC
  • NPI 1164878880

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Atra Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1326533217

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Professional Resources Enhancing Personal Success LLP

  • Early Intervention Provider Agency
  • Charlotte, NC
  • NPI 1629538350

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1730424169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE 233",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153782",
            "telephone_number": "704-891-3481",
            "fax_number": "855-299-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE 233",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153782",
            "telephone_number": "704-817-9120",
            "fax_number": "855-299-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Post Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281527438",
            "country_code": "US",
            "telephone_number": "704-481-7001",
            "fax_number": "704-445-4582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Farmingdale Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282125551",
            "country_code": "US",
            "telephone_number": "704-536-6853",
            "fax_number": "704-445-4582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHHALI",
        "first_name": "MALIK",
        "credential": "LCSW, LCAS, MAC, CSI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3040",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "LAC768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12473",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audrey Lynn Ashkin
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• Ashley a. Schatzman P.C. (Queen City Chiropractic)
• Ashley Care Homes LLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.