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

Jane D Malone, LCSW, PHD

Individual provider Clinical Social Worker · NPI 1366504490

Jane D Malone, LCSW, PHD is a Clinical Social Worker in Bayport, New York. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

972 Montauk Hwy
Bayport, NY 11705
Phone: (631) 816-1709
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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 R044798-1 (NY)

Record details

NPI number1366504490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESNovember 13, 2023
Certification dateSeptember 14, 2023
Mailing address1112 Culper Dr, South Setauket, NY 11720-1371

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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