Alex Jai Maderas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006800A Issued in IN

Practice address

Campagna Academy
7403 Cline Avenue
Schereville, IN 46375

Phone

(219) 322-8614

NPI assigned

Dec 1, 2010

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibault Care, Inc.

  • Marriage & Family Therapist
  • Terre Haute, IN
  • NPI 1548481880
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1386946937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GIBAULT CARE INC",
            "address_2": "6401 S. US HWY 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024749",
            "telephone_number": "812-299-1156",
            "fax_number": "812-298-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPAGNA ACADEMY",
            "address_2": "7403 CLINE AVENUE",
            "city": "SCHEREVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-322-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERAS",
        "first_name": "ALEX",
        "middle_name": "JAI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33005858A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Christian Counseling Center
• Fernando Jose Garza, RSA
• Ronald E Jamerson, M.D.
• Kelly A Oney, CNS

• Clinical Social Worker in Schereville, IN
• Providers in Schereville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.