Madeleine Justine Puckett, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018342 Issued in NC

Practice address

5 Oak Branch Dr Ste H
Greensboro, NC 27407-2157

Phone

(336) 288-9190

Fax

(336) 450-4318

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not 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.

• Tree of Life Counseling, PLLC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1477819712

  Clinical

  NPD

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1306597794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OAK BRANCH DR STE H",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072157",
            "telephone_number": "336-288-9190",
            "fax_number": "336-450-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Corporate Center Ct Ste 200-A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274082033",
            "country_code": "US",
            "telephone_number": "336-257-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "MADELEINE",
        "middle_name": "JUSTINE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychotherapeutic Services, Inc
• Psychotherapeutic Services, Inc.
• Pta
• Public Health Guildford County
• Publix North Carolina, LP
• Rick Dean Puckett, C.PED
• Ronald Pudlo, MD
• Cameron Pugach
• Rachel Addison Pugh, NP
• Rebecca Vernon Pugh, AU.D.

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Aug 26, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.