Elizabeth Bertha Madugno, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

121259 Issued in NY

Practice address

440 Furrows Rd
Holbrook, NY 11741-2700

Phone

(631) 645-4262

NPI assigned

Nov 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hart to Heart Clinical Counseling Services LCSW PC

  • Clinical Social Worker
  • South Setauket, NY
  • NPI 1801564182
  NPD

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1114792579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HIGH BRIDGE RD",
            "city": "MOUNT UPTON",
            "state": "NY",
            "postal_code": "138094186",
            "telephone_number": "607-337-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FURROWS RD",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412700",
            "telephone_number": "631-645-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUGNO",
        "first_name": "ELIZABETH",
        "middle_name": "BERTHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "121259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Joanne Luca, PA
• Paul Lundquist, LCSW
• Luxottica of America Inc.
• Victoria Lynch
• Nicole J Mador, LMSW
• Michaela Maertz
• Chelsea E Magro, MS, RD, CSG
• Jennifer Aimee Maher
• Claudia Mahler, OTR
• Maiorino Pharmacy & Surgical Inc

• All providers in Holbrook, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.