Provider / Organization | NPI | Date Certified |
---|---|---|
SARA WICKS MALONE | 1669099404 | 2020-06-27 |
Sara Wicks Malone is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669099404. Registration indicates Sara Wicks Malone is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Sara Wicks Malone LCSW |
Other Provider Name | Sara Wicks |
Practice Office Address | 1123 BROADWAY STE 319 NEW YORK, NY US |
Practice Office Telephone | 9174788534 |
Mailing Address | 391 ADELPHI ST APT C BROOKLYN, NY 112381560 US |
Business Telephone | 9174788534 |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 076537-1
NY |