Individual provider Active NPI

Madeline Muldoon, LCSW, LCADC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1972098226
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254414 Issued in KY
Practice address
1931 Frankfort Ave
Louisville, KY 40206
Phone
(502) 644-2346
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 241341 KY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 99087141A IN
Clinical Social Worker 1041C0700X 254414 KY Primary

Addresses

Primary practice location

1931 Frankfort Ave
Louisville, KY 40206

Mailing address

1226 Belmar Dr
Louisville, KY 40213-1757
Phone (502) 644-2346

Other practice location 1

2627 Charlestown Rd
New Albany, IN 47150-2536
Phone (812) 944-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 16, 2024 through Dec 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
241341KYMDAddiction (Substance Use Disorder) Counselor
99087141AINMDClinical Social Worker
254414KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Counseling and Psychotherapy Clinical PastSince Aug 1, 2014 Accepting new patients
Associates in Counseling and Psychtherapy Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1972098226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BELMAR DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131757",
            "telephone_number": "502-644-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40206",
            "telephone_number": "502-644-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502536",
            "country_code": "US",
            "telephone_number": "812-944-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULDOON",
        "first_name": "MADELINE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "241341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99087141A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.