Darnell Maddox

Primary specialty

Social WorkerTaxonomy code 104100000X

License

#12514 Issued in LA

Practice address

2150 General Pershing St
Mandeville, LA 70448-5125

Phone

(985) 674-5155

Fax

(985) 674-5156

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Darnell M. Maddox Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1497126916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GENERAL PERSHING ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485125",
            "telephone_number": "985-635-9225",
            "fax_number": "985-674-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GENERAL PERSHING ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485125",
            "telephone_number": "985-674-5155",
            "fax_number": "985-674-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "DARNELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "#12514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARNELL",
            "last_name": "MADDOX",
            "middle_name": "M.",
            "credential": "CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Social Worker in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.