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CONNIE O MADLOCK
NPI 1457858136
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Active since April 10, 2018
3707 N RICHARDS ST, MILWAUKEE, WI 53212(414) 967-7006(414) 967-7020 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Connie O Madlock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE O MADLOCK (NPI 1457858136) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (16826-130) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1457858136
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCONNIE O MADLOCK
Location Address3707 N RICHARDS STMilwaukee, WI 53212-1673
Mailing Address3707 N Richards StMilwaukee, WI 53212-1673 · (414) 967-7006 · Fax (414) 967-7020
Phone(414) 967-7006
Fax(414) 967-7020
Sole ProprietorYes
Enumeration DateApril 10, 2018
✔ NPI 1457858136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16826-130
3707 N RICHARDS ST, Milwaukee, WI 53212
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILWAUKEE HEALTH SERVICE SYSTEMS
Community/Behavioral Health
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
SABRINA SMITH LPN
Licensed Practical Nurse
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
MS. ALEXIS MARIE HASSAN THOMAS BS, SAC-IT
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
PATRICIA MARTIN LPN
Licensed Practical Nurse
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
RIVER'S SHORE CLINIC CTC
Health Maintenance Organization
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
STEPHANIE EXAMITAS RN
Registered Nurse
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 562-6300
MS. VIRGIL C. JOINER SAC, MSW
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006
MR. RODNEY SESSOMS SAC-IT
Counselor (Addiction (Substance Use Disorder))
3707 N RICHARDS ST
MILWAUKEE, WI 53212
Milwaukee County (414) 967-7006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Madlock's NPI number?

The NPI number for Connie Madlock is 1457858136. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Connie Madlock located?

Connie Madlock practices at 3707 N Richards St, Milwaukee, WI 53212. The listed phone number is (414) 967-7006.

What is Connie Madlock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Connie Madlock was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.