Malyna Kettavong, LCSW
NPI 1922435676 · Clinical Social Worker · Norwich, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Malyna Kettavong, LCSW is a Clinical Social Worker provider in Norwich, CT (NPI 1922435676).
Provider details
- NPI number
- 1922435676
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-26
- Last updated
- 2016-08-05
Frequently asked questions
- What is Malyna Kettavong's NPI number?
- Malyna Kettavong's National Provider Identifier (NPI) is 1922435676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Malyna Kettavong's specialty?
- Malyna Kettavong is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Malyna Kettavong located?
- Malyna Kettavong's practice location on file with NPPES is 47 Town St, Norwich, CT 06360-2315.
- What is Malyna Kettavong's phone number?
- The practice phone number listed in the NPPES registry for Malyna Kettavong is (860) 892-7042.
- Does Malyna Kettavong accept Medicare?
- Malyna Kettavong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Malyna Kettavong's NPI active?
- Yes — Malyna Kettavong's NPI (1922435676) is active in the NPPES registry as of the last update on 2016-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.