Individual provider Active NPI

Madison Reilly, MSW, LCSW

  • Clinical Social Worker
  • Littleton, CO
National Provider Identifier
1184402430
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
.09929007 Issued in CO
Practice address
9200 W Cross Dr Ste 509
Littleton, CO 80123-0761
Phone
(303) 551-9214
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X .09929007 CO Primary

Addresses

Primary practice location

9200 W Cross Dr Ste 509
Littleton, CO 80123-0761

Mailing address

9200 W Cross Dr Ste 509
Littleton, CO 80123-0761
Phone (303) 551-9214

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

LicenseStateTypeSpecialty
.09929007COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McCullough Family Therapy Clinical CurrentSince Sep 24, 2023 Accepting new patients
Athena M McCullough Clinical CurrentSince Nov 10, 2024 Accepting new patients

Locations

9200 W Cross Dr
Ste 509
Littleton, CO 80123
Phone (303) 551-9214

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1184402430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 509",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801230761",
            "telephone_number": "303-551-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 509",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801230761",
            "telephone_number": "303-551-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "MADISON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": ".09929007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.