Nicholas Malenka, LCSW
Social Worker, Clinical in Rancho Santa Margarita, CA. Individual provider (NPI-1).
NPI number1124479944
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1124479944
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Malenka
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2016
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 103582 | CA | Yes |
| 104100000X | Social Worker | – | – |
Practice location
30615 Avenida De Las FloresRancho Santa Margarita, CA 92688-3949
Phone 949-867-7144
Mailing address
Po Box 80835Rcho Sta Marg, CA 92688-0835
Phone 650-575-2446
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