Adriene Maddox, LLMSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

175 N Groesbeck Hwy Unit 175-F
Mount Clemens, MI 48043-1562

Phone

(586) 627-0024

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Life Alternatives LLC

  • Multi-Specialty Clinic/Center
  • Berkley, MI
  • NPI 1033759659
  Medicare reassignment NPD
• Severia Adolphus, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Clair Shores, MI
  • NPI 1992939052
  Medicare reassignment
• Hope Network

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1245690700
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1639720469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24644 MABRAY AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211481",
            "telephone_number": "313-909-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N GROESBECK HWY UNIT 175-F",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431562",
            "telephone_number": "586-627-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "ADRIENE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M. Macdonald, MA, LPC
• Bria Maclin
• Macomb County Human Services Board-an Agency of Macomb County
• Macomb Emergency Physicians PLLC
• Macomb Residential Opportunities, Inc.
• Lisa Mader, MSW
• Sameera Mahesh Mahimkar
• Paul A Mailloux, CRNA
• Mainstreet Chiropractic LLC
• Venkateswara Rao Malineni, MD

• Professional Counselor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.