Active NPI
Maureen E Malone, LICSW
- Clinical Social Worker
- Derry, NH
National Provider Identifier
1881648269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 470
- Practice address
- 16 Route 111
Building 2 Suite 5
Derry, NH 03038-4142 - Phone
- (603) 818-6288
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 470 | NH | Primary |
Addresses
Primary practice location
16 Route 111
Building 2 Suite 5
Derry, NH 03038-4142
Mailing address
37 Washington St
Unit a
Exeter, NH 03833-2017
Phone (603) 818-6288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30426031 | Medicaid | NH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1881648269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WASHINGTON ST",
"address_2": "UNIT A",
"city": "EXETER",
"state": "NH",
"postal_code": "038332017",
"telephone_number": "603-818-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ROUTE 111",
"address_2": "BUILDING 2 SUITE 5",
"city": "DERRY",
"state": "NH",
"postal_code": "030384142",
"telephone_number": "603-818-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "MAUREEN",
"middle_name": "E",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30426031",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.