Individual provider Active NPI

Julia Marie Madison, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1376289413
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093351 Issued in NY
Practice address
290 Lenox Ave Lowr Level
New York, NY 10027-4991
Phone
(646) 906-3475
Fax
(929) 552-1930
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06587800 NJ
Clinical Social Worker 1041C0700X NJDCATEMP-049908 NJ
Clinical Social Worker 1041C0700X 093351 NY Primary

Addresses

Primary practice location

290 Lenox Ave Lowr Level
New York, NY 10027-4991

Mailing address

290 Lenox Ave Lowr Level
New York, NY 10027-4991
Phone (646) 906-3475

Other practice location 1

39 W 128th St
New York, NY 10027-3102
Phone (646) 906-3475

Other practice location 2

2262 Adam Clayton Powell Jr Blvd
New York, NY 10030-3004
Phone (646) 906-3475

Other practice location 3

915 Clinton St Apt 1C
Hoboken, NJ 07030-3043
Phone (201) 563-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06587800NJMDSocial Worker
NJDCATEMP-049908NJMDClinical Social Worker
093351NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1376289413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LENOX AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274991",
            "telephone_number": "646-906-3475",
            "fax_number": "929-552-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LENOX AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274991",
            "telephone_number": "646-906-3475",
            "fax_number": "929-552-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 W 128th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100273102",
            "country_code": "US",
            "telephone_number": "646-906-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2262 Adam Clayton Powell Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100303004",
            "country_code": "US",
            "telephone_number": "646-906-3475",
            "fax_number": "929-290-1388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Clinton St Apt 1C",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070303043",
            "country_code": "US",
            "telephone_number": "201-563-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADISON",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06587800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJDCATEMP-049908",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.