# KERRI MALONE, LICSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639954639
- **Authorized official:** KERRICK MALONE LICSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (615) 498-4174

## Contact information

- **Practice address:** 400 VESTAVIA PKWY STE 406, VESTAVIA, AL 35216-3763
- **Practice address phone:** (615) 498-4174
- **Mailing address:** 504 LAKESHORE DR, BIRMINGHAM, AL 35209-6712
- **Mailing address phone:** (615) 498-4174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023