Kelechi Maduchukwu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284

Phone

(301) 323-8265

NPI assigned

Jan 17, 2020

Reactivated

Apr 15, 2020

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 MD

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• All Walks of Life, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1497977169
  Medicare reassignment NPD
• Livetrue Wellness LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1568093177
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1992335053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075284",
            "telephone_number": "301-323-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUCHUKWU",
        "first_name": "KELECHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "deactivation_date": "2020-01-17",
        "reactivation_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patryk Madrid, DNP
• Thayse Graciella Lozovoy Madsen Barbosa, MD
• Brandon Michael Madsen
• Obinna Madu, MD
• Ijeoma J Madubata, PHD
• Meghan Madura, M.S., CCC-SLP
• Nethra Kumar Madurai, M.D.
• Mady and Mules, PA
• Leila Jean Mady, MD, PHD, MPH
• Cleo Kaiaki Maehara, M.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.