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JACQUELINE MALCOLM LCSW
NPI 1477140085
Social Worker - Clinical in Carthage, NY

Active since December 29, 2020PECOS Enrolled
25419 HUNTLEY LN, CARTHAGE, NY 13619(315) 775-8838(315) 628-2063 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 11, 2026, Mar 6, 2025, Dec 29, 2020 (3 updates tracked since 2020).

About Jacqueline Malcolm Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MALCOLM LCSW (NPI 1477140085) is an individual clinical provider in Carthage, New York, licensed in New York (099391) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477140085
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE MALCOLMCredential: LCSW
Location Address25419 HUNTLEY LNCarthage, NY 13619-7502
Mailing Address25419 Huntley LnCarthage, NY 13619-7502 · (315) 775-8838 · Fax (315) 628-2063
Phone(315) 775-8838
Fax(315) 628-2063
Sole ProprietorYes
Enumeration DateDecember 29, 2020
Last NPPES UpdateJuly 11, 20263 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1477140085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 099391
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 107501-01 (NY)
25419 HUNTLEY LN, Carthage, NY 13619
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Malcolm Lmsw-p

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Malcolm Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13619 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE LOVE PSYCHOTHERAPY
Social Worker (Clinical)
25419 HUNTLEY LN
CARTHAGE, NY 13619
Jefferson County (315) 775-8838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Malcolm's NPI number?

The NPI number for Jacqueline Malcolm is 1477140085. It was assigned to this individual provider in the NPPES registry on December 29, 2020. The provider is also known as Jacqueline Malcolm Lmsw-P.

Where is Jacqueline Malcolm located?

Jacqueline Malcolm practices at 25419 Huntley Ln, Carthage, NY 13619. The listed phone number is (315) 775-8838.

What is Jacqueline Malcolm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacqueline Malcolm enrolled in Medicare?

Yes. Jacqueline Malcolm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Malcolm was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.