Madeline Marie Adams, LCSW

Individual provider Active NPI Clinical Social Worker · Saint Louis, MO

NPI 1134527633 · NPPES record last updated Dec 15, 2014

Key facts

NPI
1134527633
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2010020201 (MO)
Practice address
7259 Lansdowne Ave
Suite #100
Saint Louis, MO 63119-3420
Phone
(314) 544-3433
Fax
(314) 638-6902
NPI assigned
Dec 15, 2014
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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2010020201MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurses for Newborns Foundation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2010020201 MO Yes

Addresses

Primary practice location

7259 Lansdowne Ave
Suite #100
Saint Louis, MO 63119-3420

Mailing address

7259 Lansdowne Ave
Suite #100
Saint Louis, MO 63119-3420
Phone (314) 544-3433

Other identifiers

IdentifierTypeStateIssuer
12771062MedicaidMO

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.