Individual
MARTHA W MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW APT B803, WASHINGTON, DC 20032-4983
(202) 318-0179
Mailing address
6804 BRENTWOOD DR, UPPER MARLBORO, MD 20772-3931
(202) 640-9715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
29162
MD
1041C0700X
Clinical Social Worker
Primary
LC200003790
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-10272478866
DRIVER'S LICENSE
MD
Enumeration date
09/26/2022
Last updated
05/22/2025
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