Sarah L Malak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014405 Issued in IL

Practice address

722 Glenwood Dr
Charleston, IL 61920-3825

Phone

(217) 549-3741

NPI assigned

Apr 2, 2008

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

Other names 1

• Sarah L Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 9, 2024 through Aug 9, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kaleidoscope Mental Health, PLLC

  • Clinical Social Worker
  • Charleston, IL
  • NPI 1609482843
  NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1972775609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 GLENWOOD DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203825",
            "telephone_number": "217-549-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 GLENWOOD DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203825",
            "telephone_number": "217-549-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MILLER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Ann Little Grove, M.S.
• Lumos Therapy LLC
• Brittany Maccoll, MS
• Mack Moore Shoes
• Magnolia Intuitive Counseling and Healing PLLC
• Amy L Malmen, RPH
• Bernadette Mangialardi, LCPC
• Janette S Marciano, PA-C
• Maria Horvat MD SC
• Mark D Esarey

• Clinical Social Worker in Charleston, IL
• Providers in Charleston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.