Active NPI
Madeline Clavell, SOCIAL WORKER
- Addiction (Substance Use Disorder) Counselor
- Mayaguez, PR
National Provider Identifier
1376989020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0323
- Practice address
- 410 Ave Hostos Suite 7
Centro Salud Mental Mayaguez
Mayaguez, PR 00682-1522 - Phone
- (787) 833-3675
- Fax
- (787) 833-1371
- NPI assigned
- May 21, 2013
- Last updated
- May 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0323 | PR | Primary |
| Clinical Social Worker | 1041C0700X | 19604 | PR |
Addresses
Primary practice location
410 Ave Hostos Suite 7
Centro Salud Mental Mayaguez
Mayaguez, PR 00682-1522
Mailing address
410 Ave Hostos Suite 7
Centro Salud Mental Mayaguez
Mayaguez, PR 00682-1522
Phone (787) 833-3675
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0323 | PR | MD | Addiction (Substance Use Disorder) Counselor |
| 19604 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1376989020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 AVE HOSTOS SUITE 7",
"address_2": "CENTRO SALUD MENTAL MAYAGUEZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-833-3675",
"fax_number": "787-833-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 AVE HOSTOS SUITE 7",
"address_2": "CENTRO SALUD MENTAL MAYAGUEZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-833-3675",
"fax_number": "787-833-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAVELL",
"first_name": "MADELINE",
"name_prefix": "Mrs.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "0323",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "19604",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Cirugia Avanzada del Oeste, CSP
- Cirujanos Justiniano, Suris Y Sanchez
- Cite Corp
- CJT MD (Dra. Carla Tamayo - Medicina Interna)
- Mikeel Yadier Class Medina, PHARMD
- Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc
- Clinica de Salud Y Prevencion de Mayaguez LLC
- Clinica de Servicios de Patologia del Habla Y Lenguaje (Clisep),C.S.P. (Clisep Habla Y Lenguaje)
- Clinica Espanola Inc
- Clinica Espanola, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.