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Richard Piedra Madero, LCSW

Social Worker, Clinical in Blue Jay, CA. Individual provider (NPI-1).

NPI number1437584547
StatusActive
Last updated in NPPESMay 10, 2024

Details

NPI
1437584547
Entity type
Individual (NPI-1)
Name
Mr. Richard Piedra Madero
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 9, 2013
Certification date
May 10, 2024
Last updated
May 10, 2024

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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical106291CAYes

Practice location

Po Box 1401
Blue Jay, CA 92317-1401

Phone 818-378-0594

Mailing address

Po Box 1401
Blue Jay, CA 92317-1401

Phone 818-378-0594

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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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