MALYNA KETTAVONG LCSW
NPI 1922435676
Social Worker - Clinical in Norwich, CT
About Malyna Kettavong Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALYNA KETTAVONG LCSW (NPI 1922435676) is an individual clinical provider in Norwich, Connecticut, licensed in Connecticut (8972) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Malyna Kettavong Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Malyna Kettavong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 166 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORWICH, CT 06360
NORWICH, CT 06360
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 Malyna Kettavong's NPI number?
The NPI number for Malyna Kettavong is 1922435676. It was assigned to this individual provider in the NPPES registry on September 26, 2013.
Where is Malyna Kettavong located?
Malyna Kettavong practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.
What is Malyna Kettavong's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Malyna Kettavong enrolled in Medicare?
Yes. Malyna Kettavong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Malyna Kettavong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Malyna Kettavong reassigns Medicare benefits to 4 organizations: United Community And Family Services, Inc. (Norwich, CT), William W Backus Hospital (Norwich, CT), Kettavong Counseling, LLC (Norwich, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malyna Kettavong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Malyna Kettavong accept?
Health plans from Anthem Blue Cross and Blue Shield list Malyna Kettavong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Malyna Kettavong was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Malyna Kettavong, LCSW · NPI 1922435676
Clinical provider in Norwich, Connecticut. Individual provider, active in the CMS NPPES registry since September 26, 2013.
## Identity
- **NPI:** 1922435676 (Entity type: Individual)
- **Enumerated:** September 26, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 8972 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 47 TOWN ST, Norwich, CT 06360-2315
- **Phone:** (860) 892-7042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): United Community And Family Services, Inc. (NPI 1467482539, Norwich, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT); Kettavong Counseling, LLC (NPI 1285084517, Norwich, CT); Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 5, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1922435676) · Data from the CMS NPPES public registry.