Active NPI
Maddison E Gruenig, MSW
- Clinical Social Worker
- Mandeville, LA
National Provider Identifier
1669901419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16262
- Practice address
- 255 W Florida St Ste 200
Mandeville, LA 70448-3022 - Phone
- (504) 267-7324
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16262 | LA | Primary |
Addresses
Primary practice location
255 W Florida St Ste 200
Mandeville, LA 70448-3022
Mailing address
4300 S I 10 Service Rd W Ste 102
Metairie, LA 70001-7400
Phone (504) 267-7324
Other names 1
- Maddison Eberhardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Florida St
Suite 200
Mandeville, LA 70448-3022
Phone (504) 267-7324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caravelle Care Inc. | Psychologist | Current | Accepting new patients |
Locations
255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324
4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324
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": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1669901419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 S I 10 SERVICE RD W STE 102",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700017400",
"telephone_number": "504-267-7324",
"fax_number": "504-267-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W FLORIDA ST STE 200",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483022",
"telephone_number": "504-267-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENIG",
"first_name": "MADDISON",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "16262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADDISON",
"last_name": "EBERHARDT",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.