Individual provider Active NPI

Nancy Madenyika, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1659794683
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010092 Issued in NC
Practice address
4801 Glenwood Ave Ste 200 PMB 515
Raleigh, NC 27612-3857
Phone
(919) 960-7251
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015442 VA
Clinical Social Worker 1041C0700X C010092 NC Primary

Addresses

Primary practice location

4801 Glenwood Ave Ste 200 PMB 515
Raleigh, NC 27612-3857

Mailing address

4801 Glenwood Ave Ste 200 PMB 515
Raleigh, NC 27612-3857
Phone (919) 960-7251

Other practice location 1

355 S Madison Blvd Ste C
Roxboro, NC 27573-5485
Phone (919) 428-0094

Other practice location 2

355 S Madison Blvd Ste C
Roxboro, NC 27573-5485
Phone (919) 428-0094

Other practice location 3

101 Cabarrus Ave E Ste 200
Concord, NC 28025
Phone (888) 849-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230901002745 OH Practitioner - Clinical Social Worker 7416249800 Reassigns benefits to 6 organizations
I20230912001115 KY Practitioner - Clinical Social Worker 7416249800 Reassigns benefits to 1 organization
I20240131003470 VA Practitioner - Clinical Social Worker 7416249800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147

101 Harris Rd
Kilmarnock, VA 22482-3880

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3655

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1500 N 28TH St
Richmond, VA 23223-5332
Phone (804) 371-1675

1510 N 28TH St
Richmond, VA 23223-5311

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (888) 696-3541

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 947-3838

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 988-1009

40 Medical Park Blvd
Petersburg, VA 23805-9289

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

5818 Harbour View Blvd
Suffolk, VA 23435-3315

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 28, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 28, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jun 3, 2025 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jun 3, 2025 Accepting new patients
Freedom House Recovery Center, Inc. Past Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1659794683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200 PMB 515",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "919-960-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200 PMB 515",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "919-960-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 S Madison Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275735485",
            "country_code": "US",
            "telephone_number": "919-428-0094",
            "fax_number": "336-322-6168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 S Madison Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275735485",
            "country_code": "US",
            "telephone_number": "919-428-0094",
            "fax_number": "336-322-6168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cabarrus Ave E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "28025",
            "country_code": "US",
            "telephone_number": "888-849-7379",
            "fax_number": "855-857-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADENYIKA",
        "first_name": "NANCY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015442",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.