Clarissa Madison, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG200002862 Issued in DC

Practice address

2502 Vineyard LN
Crofton, MD 21114-1128

Phone

(301) 659-4659

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

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

Other names 1

• Clarissa Smit6H Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1831939867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 VINEYARD LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141128",
            "telephone_number": "301-659-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 VINEYARD LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141128",
            "telephone_number": "301-659-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "CLARISSA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200002862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "SMIT6H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Luminis Health Medical Group, LLC
• Shang Lyu
• Morgan Mahaffey, MA, LGPC
• Amanda K. Malone, M.D.
• Ayushi Mangukiya
• Linda H Manna, PHARM D.
• Michael Vincent Marchese, DMD

• Social Worker in Crofton, MD
• Providers in Crofton, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.