Individual provider Active NPI

Kathleen Kelly Malone, LCSW

  • Clinical Social Worker
  • Scarsdale, NY
National Provider Identifier
1760403174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028357 Issued in NY
Practice address
14 Harwood CT
Suite 411
Scarsdale, NY 10583-4121
Phone
(914) 723-2084
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R028357 NY Primary

Addresses

Primary practice location

14 Harwood CT
Suite 411
Scarsdale, NY 10583-4121

Mailing address

14 Harwood CT
Suite 411
Scarsdale, NY 10583-4121
Phone (914) 723-2084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080915000181 NY Practitioner - Clinical Social Worker 3173699238 Reassigns benefits to 1 organization
Practice locations: Scarsdale, NY; Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Dell LN
Ardsley, NY 10502-1638
Phone (914) 450-7695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028357NYMDClinical Social Worker
028357NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Kelly Malone, LCSW LLC Clinical CurrentSince Jan 17, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760403174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 411",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-723-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 411",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-723-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KATHLEEN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.