Active NPIIndividual providerSole proprietor

Lisa A Malcolm, LICSW

Social Worker in Pocasset, Massachusetts

NPI Number1093762528
Practice location
830 County RD, Pocasset, MA 02559-2110
Fax
508-280-5308
Last updated
September 18, 2014

Lisa A. Malcolm is a Social Worker based in Pocasset, MA. Lisa A. Malcolm practices in Pocasset, MA and has the professional credentials of LICSW. The NPI Number for Lisa A. Malcolm is 1093762528 and holds a License No. 1022268 (MA). The current practice location address for Lisa A. Malcolm is 830 County RD, Pocasset, MA 02559-2110 and can be reached out via phone at 508-564-9637 and via fax at 508-280-5308.

Provider Profile Details

NPI Number
1093762528
Provider Name
Lisa A. Malcolm
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
830 County RD, Pocasset, MA 02559-2110
Phone Number
508-564-9637
Fax Number
508-280-5308
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 30, 2006
Last Update Date
September 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 County RD
Pocasset, MA 02559-2110
Zip
02559-2110
Phone Number
508-564-9637
Fax Number
508-280-5308
Pocasset, MA 02559Get directions →

Provider Business Mailing Address Details

Address
32 Kimberly Way
Cotuit, MA 02635-2423
City
Cotuit
State
MA
Zip
02635-2423
Phone Number
508-280-5308
Fax Number
508-280-5308

License Information

License Number
1022268
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa A Malcolm, LICSW?

The NPI number of Lisa A Malcolm, LICSW is 1093762528. It was assigned on May 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa A Malcolm, LICSW?

Lisa A Malcolm, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 1022268.

Where does Lisa A Malcolm, LICSW practice?

The practice location is 830 County RD, Pocasset, MA 02559-2110. The office can be reached at 508-564-9637 (phone) or 508-280-5308 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093762528 directly on the NPPES registry website.

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