Lacey Nicole Maddrey, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG50078831 Issued in DC

Practice address

4400 Iowa Ave NW
Washington, DC 20011-5604

Phone

(202) 340-6458

NPI assigned

Jul 1, 2010

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

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1811208101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CONNECTICUT AVE NW APT 130",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085100",
            "telephone_number": "919-408-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 IOWA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115604",
            "telephone_number": "202-340-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDREY",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50078831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Maddox
• Jennifer T Maddox, MD
• Kennisha Avontia Maddox
• Lyman Terry Maddox Jr.
• Victoria Maria Maddox
• Krisna Scarlett Maddy, MD, MS
• Marcia Isabel Made Perez
• Anne Lee Mader
• Ephan M Madete
• Rashmi Madhavan, MD

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.