Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADELYN HERZOG, LCSW
Deactivated Sole ProprietorMADELYN HERZOG, LCSW is a Clinical Social Worker healthcare provider located in LEWISTON, Maine. NPI 1700565132 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · LEWISTON, ME
This NPI has been deactivated.
The record was deactivated on February 9, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1700565132
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2023 (0.57650273224044 yrs)
- Last Updated
- May 14, 2025
- Deactivated
- Feb 9, 2024
- License
-
LC22375 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 COLLEGE STLEWISTON, ME, 042402424Browse ME providers · Browse ZIP 04240
- Phone
- 2077954160
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LEWISTON, ME
| Name | Credential | NPI |
|---|---|---|
| JANICE LAVOIE BUREAU | LCSW, ACSW | 1699769265 |
| MR. AARON MICHAEL LANDRY | LCSW | 1508851528 |
| MR. JOEL R BURIAN | LCSW | 1114909595 |
| ALISON LINDQUIST | LCSW, LADC | 1205897386 |
| MS. TRACY ALLEN AUDET | LCSW LADC | 1285696799 |
| ABIGAIL PORTER | LCSW | 1659320091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.