Individual provider Active NPI

Madeline Paige Emery, BSW,LSW, LISW

  • Clinical Social Worker
  • Warren, OH
National Provider Identifier
1407348964
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405687 Issued in OH
Practice address
8700 Suite 3,
East Market Street
Warren, OH 44484
Phone
(330) 506-5635
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1802099 OH
Clinical Social Worker 1041C0700X I.2405687 OH Primary

Addresses

Primary practice location

8700 Suite 3,
East Market Street
Warren, OH 44484

Mailing address

701 Summit Ave Apt 52
Niles, OH 44446-3653
Phone (330) 717-2001

Other practice location 1

3620 Stutz Drive
Suite C
Youngstown, OH 44512
Phone (330) 286-3173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206002676 OH Practitioner - Clinical Social Worker 4587054564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talk Therapy Enterprises LLCGroup PAC ID 0042603367, 2 clinicians

Practice addresses (Care Compare)

160 Clifton Dr NE
Suite 1
Warren, OH 44484-1820

8700 3 E Market St
Warren, OH 44484-2340
Phone (330) 506-5635

PO Box
Suite 708
Vienna, OH 44473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405687OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Therapy Enterprises LLC Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

8700 E Market St
Ste 3
Warren, OH 44484
Phone (330) 506-5635

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1407348964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SUMMIT AVE APT 52",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463653",
            "telephone_number": "330-717-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUITE 3,",
            "address_2": "EAST MARKET STREET",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-506-5635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Stutz Drive",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44512",
            "country_code": "US",
            "telephone_number": "330-286-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERY",
        "first_name": "MADELINE",
        "middle_name": "PAIGE",
        "credential": "BSW,LSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802099",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.