Marissa Danielle Madden
Case Manager/Care Coordinator in Ada, OK. Individual provider (NPI-1).
NPI number1295077147
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1295077147
- Entity type
- Individual (NPI-1)
- Name
- Marissa Danielle Madden
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2013
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
301 W 4th StAda, OK 74820-3411
Phone 580-257-2444
Mailing address
1308 Cradduck RdAda, OK 74820-8442
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 113 Case Manager/Care Coordinator providers in Ada · All 1,454 providers in Ada
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