Active NPI
Angela Madden, LMSW-CC
- Social Worker
- Bangor, ME
National Provider Identifier
1487975801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MC12562
- Practice address
- 444 Stillwater Avenue, Suite 204
Kidspeace National Centers of New England, Inc.
Bangor, ME 04401 - Phone
- (207) 299-1414
- Fax
- (207) 947-6278
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC12562 | ME | Primary |
Addresses
Primary practice location
444 Stillwater Avenue, Suite 204
Kidspeace National Centers of New England, Inc.
Bangor, ME 04401
Mailing address
444 Stillwater Avenue, Suite 204
Kidspeace National Centers of New England, Inc.
Bangor, ME 04401
Phone (207) 299-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC12562 | ME | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1487975801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 STILLWATER AVENUE, SUITE 204",
"address_2": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC.",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-299-1414",
"fax_number": "207-947-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 STILLWATER AVENUE, SUITE 204",
"address_2": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC.",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-299-1414",
"fax_number": "207-947-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC12562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.