Individual provider Active NPI

Mali Mikhli

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1891828067
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R020384-1 Issued in NY
Practice address
1553 E 26TH St
Brooklyn, NY 11229-1707
Phone
(718) 545-1223
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 R020384-1 NY Primary

Addresses

Primary practice location

1553 E 26TH St
Brooklyn, NY 11229-1707

Mailing address

1553 E 26TH St
Brooklyn, NY 11229-1707
Phone (718) 545-1223

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
R020384-1NYMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: cpa.malimikhli@142175.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1891828067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291707",
            "telephone_number": "718-545-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291707",
            "telephone_number": "718-545-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHLI",
        "first_name": "MALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020384-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.