Active NPIIndividual providerSole proprietor

John G Malis, MSW, LICSW

Social Worker, Clinical in Newburyport, Massachusetts

NPI Number1346270196
Practice location
184 State St, Newburyport, MA 01950-6637
Fax
978-463-4626
Last updated
July 2, 2008

John Gordon Malis is a Social Worker, Clinical based in Newburyport, MA. John Gordon Malis practices in Newburyport, MA and has the professional credentials of MSW, LICSW. The NPI Number for John Gordon Malis is 1346270196 and holds a License No. 1019395 (MA). The current practice location address for John Gordon Malis is 184 State St, Newburyport, MA 01950-6637 and can be reached out via phone at 978-463-6929 and via fax at 978-463-4626.

Provider Profile Details

NPI Number
1346270196
Provider Name
John Gordon Malis
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
184 State St, Newburyport, MA 01950-6637
Phone Number
978-463-6929
Fax Number
978-463-4626
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2006
Last Update Date
July 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
184 State St
Newburyport, MA 01950-6637
Zip
01950-6637
Phone Number
978-463-6929
Fax Number
978-463-4626
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
169 Water St
Newburyport, MA 01950-3040
City
Newburyport
State
MA
Zip
01950-3040
Phone Number
978-463-6929
Fax Number
978-463-4626

License Information

License Number
1019395
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 John G Malis, MSW, LICSW?

The NPI number of John G Malis, MSW, LICSW is 1346270196. It was assigned on July 4, 2006 and is currently active in the NPPES registry.

What is the specialty of John G Malis, MSW, LICSW?

John G Malis, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1019395.

Where does John G Malis, MSW, LICSW practice?

The practice location is 184 State St, Newburyport, MA 01950-6637. The office can be reached at 978-463-6929 (phone) or 978-463-4626 (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 1346270196 directly on the NPPES registry website.

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