Active NPI
Michael Malcik, PHD
- Social Worker
- Wills Point, TX
National Provider Identifier
1992250716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 58884
- Practice address
- 121 S 5TH St
Wills Point, TX 75169-2569 - Phone
- (903) 292-7410
- NPI assigned
- Aug 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 58884 | TX | Primary |
Addresses
Primary practice location
121 S 5TH St
Wills Point, TX 75169-2569
Mailing address
507 Livingston Rd
Edgewood, TX 75117-9504
Phone (903) 292-7410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58884 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1992250716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 LIVINGSTON RD",
"city": "EDGEWOOD",
"state": "TX",
"postal_code": "751179504",
"telephone_number": "903-292-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S 5TH ST",
"city": "WILLS POINT",
"state": "TX",
"postal_code": "751692569",
"telephone_number": "903-292-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCIK",
"first_name": "MICHAEL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "58884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wills Point, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.