Individual provider Active NPI

Madeline T Savage, LISW

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1457510455
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 08000153 Issued in OH
Practice address
452 Broadway Ave
Youngstown, OH 44504-1556
Phone
(330) 480-2866
Fax
(330) 480-4084
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 08000153 OH Primary

Addresses

Primary practice location

452 Broadway Ave
Youngstown, OH 44504-1556

Mailing address

452 Broadway Ave
Youngstown, OH 44504-1556
Phone (330) 480-2866

Other identifiers 1

IdentifierTypeStateIssuer
0215416MedicaidOH

Other names 1

  • Madeline T Martin Former name

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
I20110218000604 OH Practitioner - Clinical Social Worker 0345421616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Water Counseling and Recovery LLCGroup PAC ID 8527487750, 16 clinicians

Practice addresses (Care Compare)

1716 N Rd SE
Warren, OH 44484-2907
Phone (330) 539-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 08000153OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC CurrentSince Oct 28, 2019 Accepting new patients
Open Water Counseling and Recovery, LLC CurrentSince Jun 23, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 28, 2019 Accepting new patients
Open Water Counseling and Recovery, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1716 North Rd SE
Warren, OH 44484
Phone (330) 399-9776

1934 Niles Cortland Rd NE
Ste B
Warren, OH 44484
Phone (330) 841-4032

452 Broadway Ave
Youngstown, OH 44504
Phone (330) 480-2866

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/openwatercounseling/r4/

Organizations & group practices 5

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1457510455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041556",
            "telephone_number": "330-480-2866",
            "fax_number": "330-480-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041556",
            "telephone_number": "330-480-2866",
            "fax_number": "330-480-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "MADELINE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 08000153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "MARTIN",
            "middle_name": "T",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.