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MICHELLE LAURA MADDEX LICSW
NPI 1952823551
Social Worker - Clinical in Roxbury, MA

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-5472 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2023, Jul 14, 2017 (2 updates tracked since 2017).

About Michelle Laura Maddex Licsw NPPES

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

MICHELLE LAURA MADDEX LICSW (NPI 1952823551) is an individual clinical provider in Roxbury, Massachusetts, licensed in Massachusetts (125585) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952823551
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE LAURA MADDEXCredential: LICSW
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address240 Shotwell StSan Francisco, CA 94110-1323
Phone(617) 442-8800
Fax(617) 541-5472
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2017
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1952823551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MA · 125585✔ Licensed in CA · ASW77284
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
45 DIMOCK ST, Roxbury, MA 02119
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Laura Maddex Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103253810
PECOS Enrollment IDI20240119002513
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 Reassignment

Medicare enrollment records show Michelle Maddex reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De La Raza, Inc.
2,657 mi
Federally Qualified Health Center (FQHC)
2021 MAIN ST
Oakley, CA 94561
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1578834164 (925) 776-8200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUSANA TEJADA D.M.D.
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
JUDANA SANDRA BENNETT
Nurse Practitioner (Psychiatric/Mental Health)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 816-6505
DR. SELENA MARIA FRANCIS DMD
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800

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 Michelle Maddex's NPI number?

The NPI number for Michelle Maddex is 1952823551. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Michelle Maddex located?

Michelle Maddex practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Michelle Maddex's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michelle Maddex enrolled in Medicare?

Yes. Michelle Maddex is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Maddex's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Maddex reassigns Medicare benefits to La Clinica De La Raza, Inc. (Oakley, CA). The 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 Michelle Maddex's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Maddex was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.