Individual provider Active NPI

Madeline Teixeira, LCSW

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1558038836
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11672 Issued in CT
Practice address
519 Boston Post Rd
Old Saybrook, CT 06475-1526
Phone
(860) 388-1145
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11672 CT Primary
Clinical Social Worker 1041C0700X 6801118240 MI

Addresses

Primary practice location

519 Boston Post Rd
Old Saybrook, CT 06475-1526

Mailing address

519 Boston Post Rd
Old Saybrook, CT 06475-1526

Other practice location 1

39350 9 Mile Rd
Northville, MI 48167-9164
Phone (855) 417-2486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MI, OK, WA, AZ, UT, MN, HI, CA, MO, IL11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20210910000659 CT Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 3 organizations
I20240703000918 MI Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20240806002703 OK Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 2 organizations
I20240920002797 WA Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20240926000206 AZ Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20240927002618 UT Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20241001002865 MN Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20250207001346 HI Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20250207002247 CA Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 3 organizations
I20250212002069 MO Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 1 organization
I20250306001664 IL Practitioner - Clinical Social Worker 3072919471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

8332 W Thunderbird Rd
Peoria, AZ 85381-4822
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as group
Quality
82.53
Improvement activities
40
Cost
86.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801118240MIMDClinical Social Worker
11672CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Clinical CurrentSince Nov 29, 2024 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Clinical CurrentSince Sep 9, 2024 Accepting new patients
MC Diagnostic of Connecticut, P.C. Clinical CurrentSince Jan 5, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
United Community and Family Services, Inc. CurrentSince Aug 24, 2021 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Clinical CurrentSince Nov 29, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 3, 2024 Accepting new patients
Minuteclinic LLC Clinical CurrentSince Sep 9, 2024 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Clinical CurrentSince Jan 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Washington, PLLC Clinical CurrentSince Sep 9, 2024 Accepting new patients
Minuteclinic Diagnostic of Oklahoma LLC CurrentSince Jul 25, 2024 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Clinical CurrentSince Jan 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Clinical CurrentSince Nov 29, 2024 Accepting new patients
United Community and Family Services, Inc. CurrentSince Aug 24, 2021 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC CurrentSince Aug 24, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Clinical CurrentSince Nov 29, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Clinical CurrentSince Nov 29, 2024 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Clinical CurrentSince May 16, 2024 Accepting new patients

Locations (25 of 32)

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

8332 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 776-3006

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

47 Town St
Norwich, CT 06360

519 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1045

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1558038836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751526",
            "telephone_number": "860-388-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39350 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481679164",
            "country_code": "US",
            "telephone_number": "855-417-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "MADELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11672",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.