Gavin Malcolm, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7693 Issued in FL

Practice address

3238 NW 47TH Ave
Coconut Creek, FL 33063-1800

Phone

(954) 205-6773

NPI assigned

Oct 5, 2021

Sex

Male

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

Enrolled in FL

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

Boston University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thriveworks Clinical - Florida IncGroup PAC ID 5496173577, 85 clinicians

Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

74.02

Promoting interoperability

100

Improvement activities

40

Cost

77.26

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gavin.malcolm.1@13142.direct.athenahealth.com

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.

• Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757

  Clinical

  Medicare reassignment Care Compare group NPD
• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996
  Medicare reassignment Care Compare group NPD
• Light Bridge Counseling Group LLC

  • Mental Health Counselor
  • Coconut Creek, FL
  • NPI 1770446312
  NPD Authorized official
• Bonita Springs Retirement Village, Inc.

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1811669062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 NW 47TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330631800",
            "telephone_number": "954-205-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 NW 47TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330631800",
            "telephone_number": "954-205-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 S Military Trl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334842654",
            "country_code": "US",
            "telephone_number": "561-563-7110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 W Sample Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330653975",
            "country_code": "US",
            "telephone_number": "561-771-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "GAVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magestic Total Care
• Megan J Magray
• Maiden to Mother Midwifery, LLC
• Heather P Maio, PSY.D
• Amy Majzoub, DMD
• TJ Mallet, L.M.T.
• John Patrick Malloy IV, DO
• Farah Mandani, CPNP-PC
• Sunpreet K Mann, M.D.
• Manuel Cruces DDS PA

• Clinical Social Worker in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.