Individual provider Active NPI

Joseph A. Madrid, MSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1659590354
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
589 Issued in WY
Practice address
604 E 25TH St
Cheyenne, WY 82001-3133
Phone
(307) 637-3953
Fax
(307) 638-6805
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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 589 WY Primary

Addresses

Primary practice location

604 E 25TH St
Cheyenne, WY 82001-3133

Mailing address

604 E 25TH St
Cheyenne, WY 82001-3133
Phone (307) 637-3953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20081203000523 WY Practitioner - Clinical Social Worker 8426119892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesong Counseling LLCGroup PAC ID 2264884634, 4 clinicians

Practice addresses (Care Compare)

1520 Logan Ave
Cheyenne, WY 82001-5138
Phone (970) 225-1581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
589WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesong Counseling LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

1520 Logan Ave
Cheyenne, WY 82001
Phone (970) 225-1581

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1659590354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E 25TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013133",
            "telephone_number": "307-637-3953",
            "fax_number": "307-638-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E 25TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013133",
            "telephone_number": "307-637-3953",
            "fax_number": "307-638-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.