Lydia Madruga, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003542 Issued in MO

Practice address

1740 Jefferson St
Kansas City, MO 64108-1104

Phone

(816) 471-2536

Fax

(816) 471-2521

NPI assigned

Jun 25, 2007

Sex

Female

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

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Care ClinicGroup PAC ID 9335386168, 7 clinicians

Practice addresses (Care Compare)

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.

• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1215273388
  Medicare reassignment Care Compare group NPD
• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1437897774
  NPD
• Mattie Rhodes Memorial Society

  • Community/Behavioral Health Agency
  • Kansas City, MO
  • NPI 1447569991

  Clinical

  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912103003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 JEFFERSON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081104",
            "telephone_number": "816-471-2536",
            "fax_number": "816-471-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 JEFFERSON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081104",
            "telephone_number": "816-471-2536",
            "fax_number": "816-471-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRUGA",
        "first_name": "LYDIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Herzer Maddux, PHD
• Abraham Henry Madenge
• Matthew Jacob Mader, M.D.
• Natoya Renee Madge, WHNP-BC/ ANP-BC
• Sheshadri Madhusudhana, M.D
• Blessing Madu
• Chris James Maeda, M.D.
• Julian Magadan III, MD
• Anthony Magalski, MD
• Alexis Magbutay

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.