Nicole Madonna, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008745 Issued in NC

Practice address

8518 Boxford CT
Charlotte, NC 28215-7353

Phone

(914) 844-2231

NPI assigned

Jul 9, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1306464029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 BOXFORD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 BOXFORD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157353",
            "telephone_number": "914-844-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONNA",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinaya Chandra Maddukuri, M.D.
• Mackenzie Peyton Maddy
• Erica Madera, MA, BCBA, LBA
• Jason Madey, MD
• Jeko Metodiev Madjarov, MD
• Carrie McLain Madsen, MS, LCMHC
• Christian V. Madsen, M.D.
• Ndi Johnnie Maduako
• Chioma Maduegbunam
• Yahnick Chizaram Madumere, MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.