Christie Malitz, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099262 Issued in NY

Practice address

360 State Route 17M Ste 4
Monroe, NY 10950-3444

Phone

(855) 771-0404

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 7, 2025 through Jan 7, 2027

Medicare enrollment (NPD)

Not 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.

• Jessica C. Sullivan LCSW, PLLC

  dba Nourish Your Mind Counseling & Psychotherapy

  • Clinical Social Worker
  • Monroe, NY
  • NPI 1811532385
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1982214789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FOX HILL RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125892953",
            "telephone_number": "914-396-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444",
            "telephone_number": "855-771-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALITZ",
        "first_name": "CHRISTIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi A Magder, LCSW
• Barbara A. Mahon, AGPCNP
• Noreen Theresa Mahon, PT MS DPT
• Miriam Majer
• Sheyda Makui, M.D.
• Sirisha Mallidi, RPH
• Leah Mandel, CASE MANAGER/CARE CO
• Miriam Mandel, M.S. CCC-SLP
• Rivka Mandel, LCSW
• Maple Ave Pharmacy Inc (Monroe Health Mart)

• Clinical Social Worker in Monroe, NY
• Providers in Monroe, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.