Look up the most recent NPI and PECOS records

Madeline Muldoon

Social Worker

Behavioral Health & Social Service Providers

1931 Frankfort Ave, Louisville, KY 40206

PECOS Enrollment

Based on the most recent information from CMS, provider Madeline Muldoon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1972098226
Provider Type
Individual
Full Name
Muldoon, Madeline
Credential
LCSW, LCADC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/28/2018
Last Updated
10/11/2019

Contact Information

Practice Location

1931 Frankfort Ave, Louisville, KY 40206

(502) 644-2346

Unlisted Fax

Mailing Location

1226 Belmar Dr, Louisville, KY 40213-1757

(502) 644-2346

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 254414 Kentucky
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 241341 Kentucky
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 99087141A Indiana

Madeline Muldoon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Goodman, David Paul

Hogan, Samantha

Lambert, Laura Michelle

Kemp, Deborah R

Bryant, Julia D

Lopp, Andrea

Cash, Alice H.

Newman, James Casey

Petro, Jessica

Davidson, Andrew M