Active NPI
Linda E Maddox, LCSW
- Clinical Social Worker
- Springfield, MO
National Provider Identifier
1013182575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004853
- Practice address
- 3263 E Lombard St
Springfield, MO 65802 - Phone
- (417) 860-3705
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004853 | MO | Primary |
Addresses
Primary practice location
3263 E Lombard St
Springfield, MO 65802
Mailing address
440 S Market Ave
Springfield, MO 65806
Phone (417) 860-3705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498493907 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1013182575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 S MARKET AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65806",
"telephone_number": "417-860-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 E LOMBARD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65802",
"telephone_number": "417-860-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "LINDA",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498493907",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.