Madilynn Prude

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.113990 Issued in IL

Practice address

3838 N Broadway St Unit 424
Chicago, IL 60613-6187

Phone

(312) 806-0148

NPI assigned

Sep 2, 2024

Sex

Female

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": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1386478287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N BROADWAY ST UNIT 424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136187",
            "telephone_number": "312-806-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N BROADWAY ST UNIT 424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136187",
            "telephone_number": "312-806-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDE",
        "first_name": "MADILYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.113990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costa Provis, L.C.P.C.
• Lisa Tamar Provorny, L.C.P.C.
• Lucja Prowinska, DT
• Joshua Daniel Prozialeck
• Prpodiatry, LLC
• Prudence L. Gourguechon, M.D. S.C.
• Tomas Mauricio Prudencio
• Prudent Alliance for Healthcare, LLC
• Jenny Prudhomme
• Renee Pruente, LPC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.