Debra Mallin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0522251 Issued in NY

Practice address

12 Lorraine St
Syosset, NY 11791-6709

Phone

(516) 935-0562

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Visit Psychotherapy and Counseling Service, PLLCGroup PAC ID 2163680554, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Visit Psychotherapy and Counseling Service, PLLC

  • Clinical Social Worker
  • Syosset, NY
  • NPI 1700156718
  Medicare reassignment Care Compare group NPD Authorized official
• The in-Home Psychotherapy Service of Greater Ny, LCSW, P.C.

  • Clinical Social Worker
  • Wantagh, NY
  • NPI 1548266638
  NPD (past)
• Youth and Family Counseling Agency of Oyster Bay-East Norwich, Inc

  • Voluntary or Charitable Agency
  • Oyster Bay, NY
  • NPI 1316032782
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982749651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LORRAINE ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916709",
            "telephone_number": "516-935-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LORRAINE ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916709",
            "telephone_number": "516-935-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIN",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0522251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayiba Mahmud
• Louis Malesardi, PA
• Suzanne Elizabeth Malgeri, MS/CCC-SLP
• Mohammad Adil Malik, MA
• Unaiza Malik, PHYSICIAN ASSISTANT
• Nicolette Mallios, OTR/L
• Linda Maney
• Deirdre Anna Mannix
• Caryn Beth Manske, MSED
• Hormoz Mansouri, M.D

• Clinical Social Worker in Syosset, NY
• Providers in Syosset, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.