Individual provider Active NPI

Carrie J Maddox, LCSW

  • Clinical Social Worker
  • Mariposa, CA
National Provider Identifier
1295291623
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129983 Issued in NU
Practice address
6986 Scott Rd
Mariposa, CA 95338-9639
Phone
(209) 966-7095
NPI assigned
Feb 11, 2019
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 96199 CA
Clinical Social Worker 1041C0700X 129983 NU Primary

Addresses

Primary practice location

6986 Scott Rd
Mariposa, CA 95338-9639

Mailing address

6986 Scott Rd
Mariposa, CA 95338-9639
Phone (209) 966-7095

Other practice location 1

5079 Highway 140
Mariposa, CA 95338-2434
Phone (209) 742-5080

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
96199CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling PastSince Jan 7, 2024 Accepting new patients
Evergreen Marriage and Family Counseling Services, Corp. PastSince Mar 3, 2024 Accepting new patients

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1295291623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 SCOTT RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389639",
            "telephone_number": "209-966-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6986 SCOTT RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389639",
            "telephone_number": "209-966-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5079 Highway 140",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953382434",
            "country_code": "US",
            "telephone_number": "209-742-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "CARRIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "96199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "129983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.