Individual provider Active NPI

Paul Malkin, MSW

  • Clinical Social Worker
  • Alameda, CA
National Provider Identifier
1912917022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 5535 Issued in CA
Practice address
2258 Santa Clara Ave
Suite 4
Alameda, CA 94501-4498
Phone
(510) 494-0328
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 5535 CA Primary

Addresses

Primary practice location

2258 Santa Clara Ave
Suite 4
Alameda, CA 94501-4498

Mailing address

2258 Santa Clara Ave
Suite 4
Alameda, CA 94501-4498
Phone (510) 494-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151106000593 CA Practitioner - Clinical Social Worker 6800106683 Practice locations: Fremont, CA; Oakland, CA; Alameda, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2450 Peralta Blvd
Fremont, CA 94536-3827
Phone (510) 494-0328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 5535CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Healing Trauma Psychotherapy PastSince Apr 6, 2025 Accepting new patients

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912917022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 SANTA CLARA AVE",
            "address_2": "SUITE 4",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014498",
            "telephone_number": "510-494-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 SANTA CLARA AVE",
            "address_2": "SUITE 4",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014498",
            "telephone_number": "510-494-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIN",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.