Judith Ann Malmskog, LICSW
Individual provider Active NPI Clinical Social Worker · Akeley, MN
NPI 1922423714 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1922423714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18225 (MN)
- Practice address
- 22690 Goose Dr
Akeley, MN 56433-8027 - Phone
- (218) 366-0911
- Fax
- (218) 250-7926
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nystrom and Associates LTD
Practice addresses (Care Compare)
112 1St St W
Suite 204 205
Bemidji, MN 56601-4002
Phone (218) 888-8032
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130001180 | MN | Practitioner - Clinical Social Worker | 6709239411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Clinical | Current |
Accepting new patients |
| Positive Pathways PLLC | Clinical | Past |
Accepting new patients |
Locations
112 1st St W
Bemidji, MN 56601
Phone (218) 888-8032
112 1st St W
Ste 204205
Bemidji, MN 56601
Phone (218) 888-8032
13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282
1702 Miller Trunk Hwy
Ste 209
Duluth, MN 55811
Phone (218) 318-1348
332 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 481-9408
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18225 | MN | Yes |
Addresses
Primary practice location
22690 Goose Dr
Akeley, MN 56433-8027
Mailing address
PO Box 121
Akeley, MN 56433-0121
Phone (218) 640-5781
Other names
- Judith A Carr
Other providers in Akeley, MN
All providers in Akeley, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.