Individual provider Active NPI

Jessica R Mady, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1447733266
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09925318 Issued in CO
Practice address
2223 Main Ave Ste 106
Durango, CO 81301-4654
Phone
(970) 698-2378
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18287 AZ
Clinical Social Worker 1041C0700X 28400 CA
Clinical Social Worker 1041C0700X 09925318 CO Primary

Addresses

Primary practice location

2223 Main Ave Ste 106
Durango, CO 81301-4654

Mailing address

361 S Camino del Rio # 145
Durango, CO 81303-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181101000779 CO Practitioner - Clinical Social Worker 4183977556 Practice locations: Durango, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2223 Main Ave
Suite 106
Durango, CO 81301-4654
Phone (970) 698-2378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18287AZMDClinical Social Worker
28400CAMDClinical Social Worker
09925318COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica R Mady Clinical CurrentSince Sep 18, 2024 Accepting new patients

Locations

2257 Main Ave
Unit 3
Durango, CO 81301
Phone (970) 698-2378

2223 Main Ave
Ste 106
Durango, CO 81301
Phone (970) 698-2378

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1447733266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S CAMINO DEL RIO # 145",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 MAIN AVE STE 106",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014654",
            "telephone_number": "970-698-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADY",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18287",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.