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NPI Code Detail

MEDICARE: MADGE DEBORAH PHILIPPE LMSW

MEDICARE:   MADGE DEBORAH PHILIPPE  LMSW
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
11041C0700XClinical Social Worker11690CT

General Provider Information

NPI Number : 1962344333
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADGE DEBORAH PHILIPPE LMSW
Provider Business Mailing Address
First Line : 2558 WHITNEY AVE SUITE 201, 2ND FLOOR
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2558 WHITNEY AVE SUITE 201, 2ND FLOOR
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3046
Country : US
Telephone Number : 203-604-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MADGE DEBORAH PHILIPPE LMSW” Practice Location

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