Marlon D Angelo Madison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23055 Issued in FL

Practice address

4400 Hemlock Dr
Riviera Beach, FL 33410-1903

Phone

(928) 615-7332

NPI assigned

Sep 16, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Client Care LLC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1245788181
  Medicare reassignment NPD
• Healing Couch Inc.

  • Clinical Social Worker
  • Tamarac, FL
  • NPI 1336829639
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1194552133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 HEMLOCK DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334101903",
            "telephone_number": "928-615-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 HEMLOCK DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334101903",
            "telephone_number": "928-615-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "MARLON",
        "middle_name": "D ANGELO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Mack, RN
• Sian Maclean, MA
• Amanda Blair Maddalena, RD
• Lisa A Madden, CPHT
• Kaitlin Madeira
• Andrea Syd Main, MPT
• Judith Marie Majewski, MD,MPH,
• Marjory Mallebranche, MS
• Sean Malott, LMHC
• Mama Knowles Best Family Daycare LLC

• Clinical Social Worker in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.