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

Jacqueline Malcolm, LCSW

Individual provider Clinical Social Worker · NPI 1477140085

Jacqueline Malcolm, LCSW is a Clinical Social Worker in Carthage, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

25419 Huntley Ln
Carthage, NY 13619-7502
Phone: (315) 775-8838
Fax: (315) 628-2063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 099391 (NY)
Social Worker Taxonomy 104100000X · Licence 107501-01 (NY)

Record details

NPI number1477140085
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 29, 2020
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026
Mailing address25419 Huntley Ln, Carthage, NY 13619-7502

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