Individual provider Active NPI

Madeline Hooper, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1003379298
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013966 Issued in NC
Practice address
6112 Saint Giles St
Raleigh, NC 27612-7043
Phone
(919) 893-4465
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012898 NC
Clinical Social Worker 1041C0700X C013966 NC Primary

Addresses

Primary practice location

6112 Saint Giles St
Raleigh, NC 27612-7043

Mailing address

6112 Saint Giles St
Raleigh, NC 27612-7043

Other practice location 1

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001 ext. 168

Other practice location 2

1206 Vaughn Rd
Burlington, NC 27217-2879
Phone (336) 228-0813 ext. 116

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.carolinaoutreach.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012898NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients
Advaita Integrated Medicine PLLC CurrentSince Dec 1, 2024 Accepting new patients
Carolina Outreach, LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

1350 SE Maynard Rd
Ste 201
Cary, NC 27511
Phone (919) 651-0820

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

6124 Saint Giles St
Raleigh, NC 27612
Phone (919) 893-4465

6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1003379298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "919-893-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Durham Chapel Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072829",
            "country_code": "US",
            "telephone_number": "919-251-9001 x168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1206 Vaughn Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272172879",
            "country_code": "US",
            "telephone_number": "336-228-0813 x116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "MADELINE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.carolinaoutreach.com",
            "affiliation": "N",
            "address_1": "2670 Durham Chapel Hill Blvd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277072829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.