Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Andrew Malkiewich, LICSW

Individual provider Clinical Social Worker · NPI 1487055372

Evan Andrew Malkiewich, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2015, 11 years ago. Practices with The Bridge of Central Massachusetts Inc, a 14-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2014
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Boston Medical Ctr
Boston, MA 02118
Phone: (617) 414-5245
Fax: (617) 414-5520
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122244 (MA)

Record details

NPI number1487055372
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Bridge Of Central Massachusetts Inc — 14 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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