Individual provider Active NPI

Diana Patricia Malca-Chern, LCSW

  • Clinical Social Worker
  • NMB, FL
National Provider Identifier
1821397845
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4557 Issued in FL
Practice address
1380 NE Miami Gardens Drive
Suite 271
NMB, FL 33179
Phone
(305) 788-7738
Fax
(305) 328-8207
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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 SW4557 FL Primary

Addresses

Primary practice location

1380 NE Miami Gardens Drive
Suite 271
NMB, FL 33179

Mailing address

660 NE 176TH St
Miami, FL 33162-2030
Phone (305) 788-7738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW4557FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1821397845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NE 176TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331622030",
            "telephone_number": "305-788-7738",
            "fax_number": "305-305-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DRIVE",
            "address_2": "SUITE 271",
            "city": "NMB",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-788-7738",
            "fax_number": "305-328-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCA-CHERN",
        "first_name": "DIANA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in NMB, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.