Provider Demographics
NPI:1982565107
Name:JOSEPH, MALAKA L (DSW)
Entity type:Individual
Prefix:MS
First Name:MALAKA
Middle Name:L
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3227
Mailing Address - Country:US
Mailing Address - Phone:985-413-4495
Mailing Address - Fax:
Practice Address - Street 1:425 W AIRLINE HWY STE D
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3825
Practice Address - Country:US
Practice Address - Phone:985-233-4035
Practice Address - Fax:504-641-5652
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty