Provider Demographics
NPI:1740057058
Name:PALADINO, MADISON (BSW MSW LCSW-A)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:PALADINO
Suffix:
Gender:F
Credentials:BSW MSW LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 S 17TH ST APT 233
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6563
Mailing Address - Country:US
Mailing Address - Phone:704-724-7442
Mailing Address - Fax:
Practice Address - Street 1:144 MERCHANTS CIR STE 100
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-5279
Practice Address - Country:US
Practice Address - Phone:704-724-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0198051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical