Maurice Keith Mader, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-291 Issued in WY

Practice address

3850 North Wilderness Drive
Wilson, WY 83014-0240

Phone

(307) 733-8210

Fax

(307) 733-8462

NPI assigned

Feb 22, 2013

Last updated

Feb 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Region V Boces

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilson, WY
  • NPI 1801159447
  Authorized official Same address or phone

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1730429036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140240",
            "telephone_number": "307-733-8210",
            "fax_number": "307-733-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 NORTH WILDERNESS DRIVE",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830140240",
            "telephone_number": "307-733-8210",
            "fax_number": "307-733-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "MAURICE",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Ryan Knudson, DPT
• Martha B Lewis, OTHER
• Nina Clark Lex
• Sally L Luke, FNP-C
• Richard Lundeen, CMHW
• Mark Matthew Neimat, MD LLC
• Mark P Menolascino MD PC
• Mark P Menolascino, MD
• Michael James Menolascino, MD
• Michael Menolascino MD

• Clinical Social Worker in Wilson, WY
• Providers in Wilson, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.