Robert George Madden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000718 Issued in CT

Practice address

259 Warsaw St.
Deep River, CT 06417

Phone

(860) 304-3776

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

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 MA

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Community Caring Clinic LLCGroup PAC ID 6002158987, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Caring Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roxbury, MA
  • NPI 1184112377
  Medicare reassignment Care Compare group NPD
• Western Mass Home Health Services Inc

  • Home Health Agency
  • Springfield, MA
  • NPI 1043600778
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649793910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 WARSAW ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064171627",
            "telephone_number": "860-304-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 WARSAW ST.",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "06417",
            "telephone_number": "860-304-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Hubbard, PHARMD
• Kathy M Kalista, RPH
• Kyle Kyoungroh Lee
• Patrick Liddle, LPC
• Lower Valley Psychotherapy Services LLC
• Susan E Mosca, MS,CCC-SLP
• Meredith Newman, MFT
• Christine Ann Nucci, MS, LCSW
• Gail M. Onofrio, M.S.
• Pastimes Adult Day Center

• Clinical Social Worker in Deep River, CT
• Providers in Deep River, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.