Malkia Ama Balogun, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15596 Issued in MD

Practice address

5308 Wendley Rd
Baltimore, MD 21229-3107

Phone

(443) 367-8468

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1972314524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 WENDLEY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293107",
            "telephone_number": "443-367-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 WENDLEY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293107",
            "telephone_number": "443-367-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "MALKIA",
        "middle_name": "AMA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronelia Balmoris Becker
• Nayimisha Balmuri
• Elizabeth A Balog, OT
• Sarah Elizabeth Balogh, LCSW
• Bolutife Jennifer Balogun
• Miriam Balsam, SLP, CCC
• Zachariah Balsam
• Alexandra Balshi, MD
• Panayiotis A. Baltatzis, M.D.
• Remedios P Baltazar, M.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.