Provider Demographics
NPI:1205985579
Name:MALEN, DAYLE G (LCSW, MED)
Entity type:Individual
Prefix:MS
First Name:DAYLE
Middle Name:G
Last Name:MALEN
Suffix:
Gender:F
Credentials:LCSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420B CURRY LOOP
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4119
Mailing Address - Country:US
Mailing Address - Phone:225-590-5051
Mailing Address - Fax:833-967-1840
Practice Address - Street 1:2420B CURRY LOOP
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2359
Practice Address - Country:US
Practice Address - Phone:225-590-5051
Practice Address - Fax:833-967-1840
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPSW942104100000X
TX65783104100000X
LA3628104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA71-0982893OtherTAX ID