Individual provider Active NPI

Madinah Brown-Day, LCSW

  • Clinical Social Worker
  • Willingboro, NJ
National Provider Identifier
1629476692
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05349200 Issued in NJ
Practice address
429 Kennedy Way
Military Order of Purple Heart
Willingboro, NJ 08046
Phone
(609) 784-4682
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 44SC05349200 NJ Primary

Addresses

Primary practice location

429 Kennedy Way
Military Order of Purple Heart
Willingboro, NJ 08046

Mailing address

1636-44 Route 38
Suite #334
Lumberton, NJ 08048
Phone (609) 784-4682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20191015003594 NJ Practitioner - Clinical Social Worker 6204167638 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05349200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Essential Counseling Services of NJ Inc CurrentSince Aug 22, 2025 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

105 Grove St
Ste 5A
Montclair, NJ 07042
Phone (973) 619-9619

Organizations & group practices 2

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1629476692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636-44 ROUTE 38",
            "address_2": "SUITE #334",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "08048",
            "telephone_number": "609-784-4682",
            "fax_number": "609-835-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 KENNEDY WAY",
            "address_2": "MILITARY ORDER OF PURPLE HEART",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "08046",
            "telephone_number": "609-784-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-DAY",
        "first_name": "MADINAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05349200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.