Diana Malekos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4762-C Issued in NV

Practice address

1107 US Highway 395 N
Gardnerville, NV 89410-5304

Phone

(775) 782-1500

NPI assigned

Oct 9, 2018

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carson Valley Medical Center Rural Health Clinic

  • Internal Medicine Physician
  • Gardnerville, NV
  • NPI 1174708879
  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1871068510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1649 Lucerne St",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NV",
            "postal_code": "894234369",
            "country_code": "US",
            "telephone_number": "775-782-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEKOS",
        "first_name": "DIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4762-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Lyon
• Colleen Caralyn Lyons, M.D.
• Mary Mackenzie, RN
• Robert Mai, R. PH.
• Lorraine Gail Maki-Sherwood, OTR-L
• Marc Christopher Young Chartered
• Christian Markt, PHARM D
• Monika Amanda Marsh, MFT
• Eunice Martinez
• Sedona Kathryn Mazza

• Clinical Social Worker in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.