Maya Danielle Mallory, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

117379 Issued in NY

Practice address

24 Ford St Apt 3E
Brooklyn, NY 11213-5589

Phone

(845) 546-2035

NPI assigned

Sep 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1730801747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FORD ST APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135589",
            "telephone_number": "845-546-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FORD ST APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135589",
            "telephone_number": "845-546-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "MAYA",
        "middle_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maham Mallick
• Shahla Sohaib Mallick
• Mark Mallinson, L.C.S.W.
• Ariane Mallon, OTR/L
• Kristen Mallon
• Jeda Malloy-Jackson
• Erica L Malloy, NP
• Kathleen Malloy, MD
• Melanie Malloy, M.D., PH.D.
• Victoria Malmygin

• All providers in Brooklyn, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.