Individual provider Active NPI

Thalia G Malik, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1871364299
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW23745 Issued in PA
Practice address
6905 Henley St
Philadelphia, PA 19119-3415
Phone
(215) 850-0217
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 CW23745 PA Primary

Addresses

Primary practice location

6905 Henley St
Philadelphia, PA 19119-3415

Mailing address

6905 Henley St
Philadelphia, PA 19119-3415
Phone (215) 850-0217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241120002126 PA Practitioner - Clinical Social Worker 5597290064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

New Castle, PA 16101
Phone (724) 944-2771

777 Ferry Rd
Doylestown, PA 18901-2102
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW23745PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 22, 2024 Accepting new patients
BMSC Az LLC Clinical CurrentSince Nov 12, 2024 Accepting new patients
CH Specialty Services PA PC CurrentSince Mar 4, 2025 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Mar 4, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

526 N Saint Cloud St
#1601
Allentown, PA 18104

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

777 Ferry Rd
Doylestown, PA 18901
Phone (215) 345-9000

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1871364299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HENLEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193415",
            "telephone_number": "215-850-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HENLEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193415",
            "telephone_number": "215-850-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "THALIA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW23745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.