Individual provider Active NPI

Julia Malczynski

  • Social Worker
  • Palos Hills, IL
National Provider Identifier
1881239630
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150103801 Issued in IL
Practice address
9944 S Roberts Rd Ste 202
Palos Hills, IL 60465-1558
Phone
(708) 586-9050
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150103801 IL Primary

Addresses

Primary practice location

9944 S Roberts Rd Ste 202
Palos Hills, IL 60465-1558

Mailing address

8907 Golfview Dr
Orland Park, IL 60462-2727
Phone (708) 955-0250

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
150103801ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Clinic P C CurrentSince May 16, 2024 Accepting new patients

Locations

9944 S Roberts Rd
Ste 202
Palos Hills, IL 60465
Phone (708) 586-9050

Organizations & group practices 1

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1881239630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 GOLFVIEW DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622727",
            "telephone_number": "708-955-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 202",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651558",
            "telephone_number": "708-586-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCZYNSKI",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.