MS. DIANE MALLACH (NPI# 1508966417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508966417 |
| Entity Type | Individual |
| Full Name | MS. DIANE MALLACH |
| Credential | LCSW |
| Practice Address |
50 Newark Ave #306 Belleville NJ 07109 |
| Mailing Address |
Po Box 71 Maplewood NJ 07040 |
| Practice Telephone | 9734500220 |
| Practice Fax Number | 9734500162 |
| Mailing Telephone | 2017877142 |
| Mailing Fax Number | 9734500162 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC00284200 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | P3470927 | 01 | |
| AETNA | 7081448 | 01 |
| Street Address |
50 NEWARK AVE #306 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411957 | Mario A Criscito | Internal Medicine | 50 Newark Ave, Suite 204, Belleville, NJ 07109-1185 | 2005-07-21 |
| 1013352558 | Lucknie Ovincy | Physician Assistant | 50 Newark Ave, Belleville, NJ 07109-1185 | 2013-05-09 |
| 1568723435 | Craig D Gialanella Md LLC | Internal Medicine | 50 Newark Ave, Suite 307, Belleville, NJ 07109-1185 | 2012-06-06 |
| 1477811032 | Kelley Wachter Mali | Physician Assistant | 50 Newark Ave, Suite 205, Belleville, NJ 07109-1185 | 2012-05-01 |
| 1699006445 | Sameer Kaul | Internal Medicine | 50 Newark Ave, Suite 204, Belleville, NJ 07109 | 2010-01-19 |
| 1538325220 | Comprehensive Medical Practice, PC | Family Medicine | 50 Newark Ave, Suite 205 - 207, Belleville, NJ 07109-1185 | 2008-08-01 |
| 1326221011 | Steven M. Lomazow M.d. PC | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-12-17 |
| 1275728842 | Silver Lake Medical, PC | Family Medicine | 50 Newark Ave, Suite 205 - 207, Belleville, NJ 07109-1185 | 2007-09-07 |
| 1902022882 | Liviu Craciun | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-04-18 |
| 1912041047 | Robert R Gialanella Md Pa | Internal Medicine | 50 Newark Ave, Suite 306, Belleville, NJ 07109-1185 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201756 | Amy Saavedra | Social Worker | 44 Linden Ave Apt 1, Belleville, NJ 07109-2787 | 2020-06-25 |
| 1730708199 | Kristen Marie Stewart | Social Worker | 13590 Chester Ct, Belleville, MI 48111-2494 | 2020-04-15 |
| 1902454689 | Light Source LLC | Social Worker | 114 E Lincoln St, Belleville, IL 62220-2251 | 2019-08-27 |
| 1073096343 | Beverly Joanne Rogers | Social Worker | 570 Belleville Ave Fl 4, Belleville, NJ 07109-1308 | 2018-09-12 |
| 1053826040 | Helping Journey Counseling Service | Social Worker | 397 Main St Ste C, Belleville, MI 48111 | 2017-12-12 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1265969729 | Cassidy Jordan Palacios | Social Worker | 1624 Carlyle Ave # 530, Belleville, IL 62221-4558 | 2017-05-16 |
| 1619417086 | Patrick Joseph Garrison | Social Worker | 949 Stone Creek Ln, Belleville, IL 62223-2654 | 2017-03-03 |
| 1407301245 | Andrea L Rako | Social Worker | 1500 Vicksburg Dr, Belleville, IL 62221-5806 | 2016-08-22 |
| 1508267147 | Meghan Taylor | Social Worker | 41521 S I 94 Servce Dr, Belleville, MI 48111-2856 | 2014-09-15 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.