MEDICARE: MRS. ALEXANDRA W MADDEN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		MA

General Provider Information

NPI Number	:	1487042628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXANDRA W MADDEN MSW

Provider Business Mailing Address
First Line	:	5007 LEEDS MANOR RD
Second Line	:
City	:	MARKHAM
State	:	VA
Zip	:	22643-1937
Country	:	US
Telephone Number	:	508-901-1191
Fax Number	:

Provider Business Practice Location Address
First Line	:	4372 OLD TAVERN RD.
Second Line	:
City	:	THE PLAINS
State	:	VA
Zip	:	20198
Country	:	US
Telephone Number	:	540-227-7896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2014
Last Update Date	:	03/19/2025

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