Kuniko Madden, MSW, QP, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011505 Issued in NC

Practice address

3325 Durham Chapel Hill Blvd Ste 210
Durham, NC 27707-2646

Phone

(919) 451-5008

NPI assigned

Jul 29, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1679956601
  NPD (past)

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1679051023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829",
            "telephone_number": "919-275-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD STE 210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072646",
            "telephone_number": "919-451-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KUNIKO",
        "credential": "MSW, QP, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Macy
• Madalyn Schulz LCSW, PLLC
• Patricia Madariaga
• Barra Madden, MD
• John Francis Madden, M.D.
• Megan Madden, LCSW
• Mark Maddox
• Ajay Akash Madhavan, MD
• Gwen Elizabeth Madill, LCSW
• Rita Madrazo-Peterson, PH.D.

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.