Provider Demographics
NPI:1891179446
Name:VAUGHN, MADELINE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:MARIE
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MADELINE
Other - Middle Name:MARIE
Other - Last Name:HARTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 SAN FELIPE SUITE 480
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4446
Mailing Address - Country:US
Mailing Address - Phone:713-364-6350
Mailing Address - Fax:
Practice Address - Street 1:7500 SAN FELIPE SUITE 480
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4446
Practice Address - Country:US
Practice Address - Phone:713-364-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61059104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker