Active NPI
Maddison Lynn Cross
- Social Worker
- Royal Oak, MI
National Provider Identifier
1992355663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801105670
- Practice address
- 1705 Gardenia Ave
Royal Oak, MI 48067-2142 - Phone
- (616) 915-8815
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801105670 | MI | Primary |
Addresses
Primary practice location
1705 Gardenia Ave
Royal Oak, MI 48067-2142
Mailing address
1705 Gardenia Ave
Royal Oak, MI 48067-2142
Phone (616) 915-8815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 947573204-02 | Other | MI | PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801105670 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1992355663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 GARDENIA AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672142",
"telephone_number": "616-915-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 GARDENIA AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672142",
"telephone_number": "616-915-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "MADDISON",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801105670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "947573204-02",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.