Active NPI
Dolores Madiou, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1346266582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01262
- Practice address
- 10451 Twin Rivers Rd
Columbia, MD 21044-2388 - Phone
- (410) 997-3557
- Fax
- (410) 964-1791
- NPI assigned
- Jul 14, 2006
- Last updated
- Jan 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01262 | MD | Primary |
Addresses
Primary practice location
10451 Twin Rivers Rd
Columbia, MD 21044-2388
Mailing address
4623 Falls Rd
Baltimore, MD 21209-4914
Phone (410) 366-1980
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399170 | Other | MD | TRICARE |
| 226092 | Other | MD | KAISER |
| 239330-000 | Other | MD | MAGELLAN HEALTHCARE |
| PVP134855 | Other | MD | APS HEALTHCARE |
| 7618409 | Other | MD | AETNA BEHAVIORAL HEALTH |
| 280361 | Other | MD | MAMSI |
| 417290 | Other | MD | BCBS |
| 492610200 | Medicaid | MD | |
| 11249314 | Other | MD | CAQH |
| T541 0025 | Other | MD | BCBS-DC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01262 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1346266582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FALLS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094914",
"telephone_number": "410-366-1980",
"fax_number": "410-366-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 TWIN RIVERS RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442388",
"telephone_number": "410-997-3557",
"fax_number": "410-964-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIOU",
"first_name": "DOLORES",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "01262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "399170",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "226092",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTHCARE",
"identifier": "239330-000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTHCARE",
"identifier": "PVP134855",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7618409",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "280361",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "417290",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492610200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11249314",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-DC",
"identifier": "T541 0025",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.