Individual provider Active NPI

Malka Marina Yunaev, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1902373368
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092803-1 Issued in NY
Practice address
1268 E 14TH St
Brooklyn, NY 11230-5241
Phone
(718) 382-0045
Fax
(718) 382-0551
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092803-01 NY
Clinical Social Worker 1041C0700X 092803-1 NY Primary

Addresses

Primary practice location

1268 E 14TH St
Brooklyn, NY 11230-5241

Mailing address

1268 E 14TH St
Brooklyn, NY 11230-5241
Phone (718) 382-0045

Other practice location 1

9977 Queens Blvd Ph
Rego Park, NY 11374
Phone (718) 896-9090

Other practice location 2

1268 E 14th St
Brooklyn, NY 11230-5241
Phone (718) 382-0045

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

State licenses

LicenseStateTypeSpecialty
092803-01NYMDSocial Worker
092803-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1902373368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9977 Queens Blvd Ph",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "11374",
            "country_code": "US",
            "telephone_number": "718-896-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1268 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112305241",
            "country_code": "US",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUNAEV",
        "first_name": "MALKA",
        "middle_name": "MARINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092803-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092803-1",
            "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 May 9, 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.