JENNIFER L MALOTT (NPI# 1770722878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770722878 |
| Entity Type | Individual |
| Full Name | JENNIFER L MALOTT |
| Credential | MSW, LSCW |
| Practice Address |
2020 E Washington Blvd Suite 700 Fort Wayne IN 46803-1359 |
| Practice Telephone | 2604223034 |
| Mailing Telephone | 2604223034 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 33005516A | IN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006055A | IN | Behavioral Health & Social Service Providers |
| Street Address |
2020 E WASHINGTON BLVD SUITE 700 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46803-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774796 | Mcgee-lytle Inc | Psychologist | 2020 E Washington Blvd, Suite 650, Fort Wayne, IN 46803-1327 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811931 | Alyssa Kate Elaine Pierce | Registered Nurse | 3044 Schele Ave, Fort Wayne, IN 46803 | 2013-06-20 |
| 1538188164 | Deanna A Young | Counselor | 2020 East Washington Blvd, Suite 700, Fort Wayne, IN 46803 | 2006-07-18 |
| 1265491211 | Kamie Joy Lucas | Specialist/Technologist | 1600 E Washington Blvd, Indiana Institute of Technology, Fort Wayne, IN 46803 | 2006-03-20 |
| 1164693255 | Aaa Superior, Inc. | Taxi | 1520 E Berry St, Fort Wayne, IN 46803-1001 | 2008-03-17 |
| 1265951255 | Kailen Berry | Specialist/Technologist | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2017-09-12 |
| 1013453927 | Nathaniel Acree | Specialist/Technologist | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2017-01-17 |
| 1689784225 | Parkview Hospital | General Acute Care Hospital | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2006-08-30 |
| 1356583918 | Angela Robbins Gebert | Durable Medical Equipment & Medical Supplies | 5436 Old Maumee Rd, Unit 1, Fort Wayne, IN 46803-1713 | 2009-03-28 |
| 1861895799 | Jessica Buroff | Community Health Worker | 5430 Old Maumee Rd Lot 13, Fort Wayne, IN 46803-1714 | 2014-10-07 |
| 1538632807 | Mariah Ruffin | Respite Care | 1405 Eliza St, Fort Wayne, IN 46803-2035 | 2019-01-09 |
| Find all providers in zip 46803 | ||||
| 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 |
|---|---|---|---|---|
| 1154933299 | Kristina Lynn Devors | Social Worker | 7116 Chippenham Dr, Fort Wayne, IN 46818-0033 | 2020-08-19 |
| 1023636909 | Gary Scott Ralya | Social Worker | 2121 E State Blvd, Fort Wayne, IN 46805-4640 | 2020-07-08 |
| 1003444985 | Courageous Healing Inc | Social Worker | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-03-27 |
| 1164060653 | Brosh Inc | Social Worker | 4820 Oak Knob Run, Fort Wayne, IN 46845-8939 | 2019-12-15 |
| 1740780204 | Jay Bastian LLC | Social Worker | 9910 Dupont Circle Dr. Suite 140, Fort Wayne, IN 46825-1610 | 2018-02-20 |
| 1790291755 | Resolutions Counseling LLC | Social Worker | 13207 Hammerhill Way, Fort Wayne, IN 46845-2351 | 2017-12-28 |
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1306377304 | Charla Leman | Social Worker | 8011 Basswood Pl, Fort Wayne, IN 46835-4752 | 2017-03-22 |
| 1659826055 | Frank Deisler | Social Worker | 5543 S Wayne Ave, Fort Wayne, IN 46807-3128 | 2016-08-16 |
| 1013376458 | Rikki Lynn Treesh | Social Worker | 4918 Canterbury Dr, Fort Wayne, IN 46835-4102 | 2016-02-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46803 |
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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.