William M Madeira

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069753-1 Issued in NY

Practice address

242 W 30TH St
RM 602
New York, NY 10001-4954

Phone

(917) 565-5628

NPI assigned

Jul 30, 2010

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1114231214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W 30TH ST",
            "address_2": "RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014954",
            "telephone_number": "484-788-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W 30TH ST",
            "address_2": "RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014954",
            "telephone_number": "917-565-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEIRA",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069753-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Maddox
• Natalie Michelle Maddrey
• Hilary Compton Maddux, LCSW
• Kimberly Made
• Charles L Madeira, MD
• Jonathan Michael Madek, M.D.
• Madeline Cooper LCSW, P.C.
• Jane R. Madell, PHD
• Myrlene Madelon, FNP
• Madelyn Silber, PSYD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.