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General NPI Number Information
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NPI Number | 1851009609
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Entity Type | Individual
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Provider Name | MALAIKA A SMALL LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1944 LORING PL S APT 4E
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City | BRONX
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State | NY
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Zip | 10453-2923
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Country | US
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Telephone | 917-805-9823
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Fax |
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Provider Business Mailing Address
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Address Line | 92 BURNETT AVE APT 401
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-2985
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Country | US
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Telephone | 917-805-9823
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58.016249
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 118071-01
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License Number State | NY
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