Individual provider Active NPI

Malisa Shreve

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1841506680
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000495 Issued in DE
Practice address
18 Cook Rd
Newark, DE 19711-4802
Phone
(302) 620-8823
Fax
(302) 397-2958
NPI assigned
Aug 30, 2010
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 Q10000495 DE Primary

Addresses

Primary practice location

18 Cook Rd
Newark, DE 19711-4802

Mailing address

18 Cook Rd
Newark, DE 19711-4802
Phone (302) 620-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110711000275 DE Practitioner - Clinical Social Worker 7810175171 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Outlook Therapeutic Services, LLC Clinical CurrentSince Mar 3, 2024 Accepting new patients
Jewish Family Services of Delaware Clinical CurrentSince Jun 6, 2011 Accepting new patients
Healthy Outlook Therapeutic Services LLC Clinical CurrentSince Mar 3, 2024 Accepting new patients
Norman Broudy PastSince Oct 20, 2024 Accepting new patients

Locations

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1841506680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COOK RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114802",
            "telephone_number": "302-620-8823",
            "fax_number": "302-397-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COOK RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114802",
            "telephone_number": "302-620-8823",
            "fax_number": "302-397-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "MALISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.