Jason Kyle Madigan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6895 Issued in MS

Practice address

127 Gary St
Gulfport, MS 39503-3503

Phone

(228) 523-5186

Fax

(228) 523-4384

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376587915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22247 EVANGELINE DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395715304",
            "telephone_number": "228-452-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GARY ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033503",
            "telephone_number": "228-523-5186",
            "fax_number": "228-523-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "JASON",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Self Lundy, DPT
• Mousa Maalouf, M.D.
• Thomas Paul Mace, MD
• Angelo C Mack, LMT
• Erin N Madden, BCBA
• Angela Faye Magee, LMT
• Natasha Magee
• Rachel C Magee
• Autumn Maghupoy
• Magnolia Grove Healthcare

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.