Provider Demographics
NPI:1902955545
Name:MALINKA-MORGAN, JOANNA A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:A
Last Name:MALINKA-MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:161 CYNTHIA LN APT F8
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-2143
Mailing Address - Country:US
Mailing Address - Phone:860-524-6890
Mailing Address - Fax:860-524-6892
Practice Address - Street 1:45 WYLLYS ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2720
Practice Address - Country:US
Practice Address - Phone:860-524-6890
Practice Address - Fax:860-524-6892
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker