Active NPI
Madison Rene' Caver, LMSW
- Social Worker
- Tupelo, MS
National Provider Identifier
1083041222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M8774
- Practice address
- 920 Boone St
Tupelo, MS 38804-5908 - Phone
- (662) 844-3531
- Fax
- (662) 844-1757
- NPI assigned
- Oct 2, 2013
- Last updated
- May 21, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | M8774 | MS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | M8774 | MS | Primary |
Addresses
Primary practice location
920 Boone St
Tupelo, MS 38804-5908
Mailing address
920 Boone St
Tupelo, MS 38804-5908
Phone (662) 844-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018203 | Medicaid | MS |
Other names 1
- Madison Loden
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amerchant@lifecorehealthgroup.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M8774 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1083041222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BOONE ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388045908",
"telephone_number": "662-844-3531",
"fax_number": "662-844-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 BOONE ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388045908",
"telephone_number": "662-844-3531",
"fax_number": "662-844-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVER",
"first_name": "MADISON",
"middle_name": "RENE'",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "M8774",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018203",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amerchant@lifecorehealthgroup.com",
"affiliation": "N",
"address_1": "920 Boone St",
"city": "Tupelo",
"state": "MS",
"country_code": "US",
"postal_code": "388045908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MADISON",
"last_name": "LODEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.