Madeline De Vos, LCSWA – Clinical Social Worker

Key facts

NPI: 1053929554
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: P018941 (NC)
Practice address: 12925 Highway 601 Ste 500
Midland, NC 28107-9537
Phone: (252) 287-8620
NPI assigned: Jul 21, 2020
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Intentional Growth Behavioral Health Services, PLLC Clinical Social Worker · Midland, NC · NPI 1639778905

NPD CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
P018941	NC	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Intentional Growth Behavioral Health Services, PLLC	Clinical	Current since May 28, 2023	Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	P018941	NC	Yes

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

Other providers in Midland, NC

All providers in Midland, NC · Clinical Social Worker in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.