Healthcare Provider Details

I. General information

NPI: 1891659025
Provider Name (Legal Business Name): CHRISTA MADDEN, MSW,LCSW,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 BUCKLAND RD STE D
SOUTH WINDSOR CT
06074-3738
US

IV. Provider business mailing address

PO BOX 8073
MANCHESTER CT
06040-0073
US

V. Phone/Fax

Practice location:
  • Phone: 860-748-5538
  • Fax: 860-791-8066
Mailing address:
  • Phone: 860-748-5538
  • Fax: 860-791-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTA CAREN MADDEN
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: MSW,LCSW
Phone: 860-748-5538