Susan Burris Madeira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00183300 Issued in NJ

Practice address

2300 Hamilton Ave
Family Guidance Center Corporation
Hamilton, NJ 08619-3007

Phone

(609) 587-7044

Fax

(609) 587-6765

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Guidance Center Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hamilton, NJ
  • NPI 1922027895
  NPD (past)
• Family Guidance Center Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Trenton, NJ
  • NPI 1982963260
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619077872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CROWN TER",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677346",
            "telephone_number": "215-736-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAMILTON AVE",
            "address_2": "FAMILY GUIDANCE CENTER CORPORATION",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193007",
            "telephone_number": "609-587-7044",
            "fax_number": "609-587-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEIRA",
        "first_name": "SUSAN",
        "middle_name": "BURRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00183300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luminary Psychiatry LLC
• Stephanie Luna, LPC, LAC
• Tarig Mabrouk, MD
• Rebecca J Macadams
• Melvin Mack
• Sherry L Magaram, LCSW
• Ishika Maheshwari, BT, BA
• Jeannette Mahieu, BCBA
• Nida Mahmood
• Nola T. Mahoney, D.O.

• Clinical Social Worker in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.