MRS. ADRIENE MADDOX LLMSW
NPI 1639720469
Counselor - Professional in Mount Clemens, MI

Active since September 23, 2019PECOS Enrolled
175 N GROESBECK HWY UNIT 175-F, MOUNT CLEMENS, MI 48043(586) 627-0024 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Adriene Maddox Llmsw NPPES

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

MRS. ADRIENE MADDOX LLMSW (NPI 1639720469) is an individual professional provider in Mount Clemens, Michigan and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639720469
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ADRIENE MADDOXCredential: LLMSW
Location Address175 N GROESBECK HWY UNIT 175-FMount Clemens, MI 48043-1562
Mailing Address24644 Mabray AveEastpointe, MI 48021-1481 · (313) 909-4845
Sole ProprietorYes
Enumeration DateSeptember 23, 2019
✔ NPI 1639720469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
175 N GROESBECK HWY UNIT 175-F, Mount Clemens, MI 48043

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adriene Maddox Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Adriene Maddox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
31235 HARPER AVE STE 244
Saint Clair Shores, MI 48082
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
Multi-Specialty
3281 COOLIDGE HWY
Berkley, MI 48072
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
175 N GROESBECK HWY UNIT 175-F
MOUNT CLEMENS, MI 48043
Social Worker (Clinical)
175 N GROESBECK HWY UNIT 175-F
MOUNT CLEMENS, MI 48043

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 Adriene Maddox's NPI number?

The NPI number for Adriene Maddox is 1639720469. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Adriene Maddox located?

Adriene Maddox practices at 175 N Groesbeck Hwy Unit 175-F, Mount Clemens, MI 48043. The listed phone number is (586) 627-0024.

What is Adriene Maddox's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Adriene Maddox enrolled in Medicare?

Yes. Adriene Maddox is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adriene Maddox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriene Maddox reassigns Medicare benefits to 2 organizations: (Saint Clair Shores, MI) and New Life Alternatives LLC (Berkley, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adriene Maddox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adriene Maddox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Adriene Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adriene Maddox was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.