Individual provider Active NPI

Susan Malkoff Sr., LISW

  • Clinical Social Worker
  • Girard, OH
National Provider Identifier
1922091727
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-1003 Issued in OH
Practice address
1601 Motor Inn Dr
Suite #320
Girard, OH 44420-2420
Phone
(330) 759-0707
Fax
(330) 759-9708
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 I-1003 OH Primary

Addresses

Primary practice location

1601 Motor Inn Dr
Suite #320
Girard, OH 44420-2420

Mailing address

1601 Motor Inn Dr
Suite #320
Girard, OH 44420-2420
Phone (330) 759-0707

Other identifiers 4

IdentifierTypeStateIssuer
055379OtherOHVALUE OPTIONS
IP126604OtherOHGREENSPRING
0239361MedicaidOH
000000115337OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130323000064 OH Practitioner - Clinical Social Worker 9032354089 Practice locations: Girard, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5390 Sampson Dr
Girard, OH 44420-3503
Phone (330) 727-8696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-1003OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922091727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR",
            "address_2": "SUITE #320",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202420",
            "telephone_number": "330-759-0707",
            "fax_number": "330-759-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR",
            "address_2": "SUITE #320",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202420",
            "telephone_number": "330-759-0707",
            "fax_number": "330-759-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKOFF",
        "first_name": "SUSAN",
        "name_suffix": "Sr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "055379",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREENSPRING",
            "identifier": "IP126604",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239361",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000115337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.