MEDICARE: REBECCA MALASKY THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679429807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA MALASKY THERAPY LLC

Provider Business Mailing Address
First Line	:	1988 SHERLYNN DR
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-7618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1988 SHERLYNN DR
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-7618
Country	:	US
Telephone Number	:	810-373-2789
Fax Number	:

Authorized Official
Title or Position	:	LMSW
Name	:	REBECCA SUE MALASKY
Credential	:	LMSW
Telephone Number	:	810-373-2789

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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