COURTNEY MALCOLM (MSW, LCSW) – Clinical Social Worker, NPI 1093909525

COURTNEY MALCOLM (MSW, LCSW) is a healthcare provider. based in Woodbury, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. The NPI Number for COURTNEY MALCOLM (MSW, LCSW) is 1093909525

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY MALCOLM (MSW, LCSW)
NPI
1093909525
Phone
(203) 405-1581
Address
5 DEER HILL CT
Enumeration Date
28 August 2007
Last Update Date
9 June 2008

Doctor Profile

Medical School Name
FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8609286541
Graduation Year
2004 (22 years ago)
PAC ID
8527138817
Group Practice PAC ID
5092773549
Professional Enrollment ID
I20080529000187
Address ID
CT062601836PU320XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for COURTNEY MALCOLM (MSW, LCSW)

  • Deer Hill Court, Litchfield County, Connecticut, 06488-2295, United States

    WOODBURY, CT 067983213

    Phone: (203) 405-1581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080529000187IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06798)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092773549View full group profile
NameSpecialtyState
Mental Health CounselorCT
-CT
Mental Health CounselorCT
Psychiatry, NeuropsychiatryCT
Clinical Social WorkerCT
Medical Oncology, Hematology/OncologyRI
-CT
Psychiatry, Geriatric PsychiatryCT
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for COURTNEY MALCOLM (MSW, LCSW)?
COURTNEY MALCOLM (MSW, LCSW) — NPI 1093909525 — is the standard way to identify this listing.
Is COURTNEY MALCOLM (MSW, LCSW) still practicing?
COURTNEY MALCOLM (MSW, LCSW) is currently listed as active in the public NPI registry.
What is COURTNEY MALCOLM (MSW, LCSW) best known for clinically?
Directory data describes COURTNEY MALCOLM (MSW, LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does COURTNEY MALCOLM (MSW, LCSW) serve?
COURTNEY MALCOLM (MSW, LCSW)'s listing highlights Woodbury, Connecticut; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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