Madelyn Bart
Individual provider Active NPI Social Worker · Hawthorne, NY
NPI 1245668573 · NPPES record last updated Oct 28, 2013
Key facts
- NPI
- 1245668573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- P89601 (NY)
- Practice address
- 228 Linda Ave
Hawthorne, NY 10532-2050 - Phone
- (914) 773-7438
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P89601 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P89601 | NY | Yes |
Addresses
Primary practice location
228 Linda Ave
Hawthorne, NY 10532-2050
Mailing address
228 Linda Ave
Hawthorne, NY 10532-2050
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.