Provider Demographics
NPI:1831892520
Name:MALKO, NASHUA CHARLES ARCOLEO (LCSW, LICSW)
Entity type:Individual
Prefix:
First Name:NASHUA
Middle Name:CHARLES ARCOLEO
Last Name:MALKO
Suffix:
Gender:M
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 S PROSPECT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-3566
Mailing Address - Country:US
Mailing Address - Phone:732-421-4802
Mailing Address - Fax:
Practice Address - Street 1:3430 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4800
Practice Address - Country:US
Practice Address - Phone:518-563-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0136134101Y00000X
VT156.0134175104100000X
NY113468104100000X
NY0999631041C0700X
VT089.01365351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker