Active NPI
Cheryl Harmon Maddux, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1699768788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004823
- Practice address
- 1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7361 - Phone
- (910) 343-6890
- Fax
- (910) 332-1233
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | C004823 | NC | Primary |
Addresses
Primary practice location
1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7361
Mailing address
34 Central Blvd
Wilmington, NC 28401-6945
Phone (910) 471-6516
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B0318 | Other | MEDCOST | |
| 0238M | Other | BCBS | |
| 6005107 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000407 | NC | Practitioner - Clinical Social Worker | 5092768580 | Practice locations: Wilmington, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7348
Phone (910) 343-6890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1699768788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CENTRAL BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016945",
"telephone_number": "910-471-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 PHYSICIANS DR",
"address_2": "SUITE 104",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017361",
"telephone_number": "910-343-6890",
"fax_number": "910-332-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDUX",
"first_name": "CHERYL",
"middle_name": "HARMON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B0318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0238M",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005107",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.