Individual provider Active NPI

Madeline De Vos, LCSWA

  • Clinical Social Worker
  • Midland, NC
National Provider Identifier
1053929554
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018941 Issued in NC
Practice address
12925 Highway 601 Ste 500
Midland, NC 28107-9537
Phone
(252) 287-8620
NPI assigned
Jul 21, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018941 NC Primary

Addresses

Primary practice location

12925 Highway 601 Ste 500
Midland, NC 28107-9537

Mailing address

12925 Highway 601 Ste 500
Midland, NC 28107-9537
Phone (252) 287-8620

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P018941NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Growth Behavioral Health Services, PLLC Clinical CurrentSince May 28, 2023 Accepting new patients

Locations

12925 Highway 601
Ste 500
Midland, NC 28107
Phone (252) 287-8620

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1053929554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12925 HIGHWAY 601 STE 500",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281079537",
            "telephone_number": "252-287-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12925 HIGHWAY 601 STE 500",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281079537",
            "telephone_number": "252-287-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VOS",
        "first_name": "MADELINE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-09-29",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.