Individual provider Active NPI

Christa Madden

  • Social Worker
  • South Windsor, CT
National Provider Identifier
1780737718
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004707 Issued in CT
Practice address
475 Buckland Rd
South Windsor, CT 06074-3738
Phone
(860) 748-5538
Fax
(860) 791-8066
NPI assigned
Jan 21, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004707 CT Primary

Addresses

Primary practice location

475 Buckland Rd
South Windsor, CT 06074-3738

Mailing address

PO Box 8073
Manchester, CT 06040-0073
Phone (860) 748-5538

Other identifiers 1

IdentifierTypeStateIssuer
004263125MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150713000553 CT Practitioner - Clinical Social Worker 7214249788 Reassigns benefits to 1 organization
Practice locations: South Windsor, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Oakland Rd
Suite 403
South Windsor, CT 06074-2896
Phone (860) 748-5538

PO Box
Suite 8073
Manchester, CT 06040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4707CTMDGeneral Practice Dentistry
004707CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christa Madden MSW LCSW LLC CurrentSince Mar 2, 2026 Accepting new patients
Hope Center Inc. PastSince Dec 24, 2021 Accepting new patients

Locations

475 Buckland Rd
South Windsor, CT 06074
Phone (860) 208-3984

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1780737718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8073",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060400073",
            "telephone_number": "860-748-5538",
            "fax_number": "860-791-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743738",
            "telephone_number": "860-748-5538",
            "fax_number": "860-791-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "CHRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004263125",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.