Individual provider Active NPI

Queen Liza Ayinesom Aboyah, APSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1023843646
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135495-121 Issued in WI
Practice address
815 Forward Dr
Madison, WI 53711-2443
Phone
(608) 268-6530
NPI assigned
Sep 4, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 135495-121 WI Primary

Addresses

Primary practice location

815 Forward Dr
Madison, WI 53711-2443

Mailing address

815 Forward Dr
Madison, WI 53711-2443
Phone (608) 268-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723000394 WI Practitioner - Clinical Social Worker 3375059793 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135495-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Family Services, Inc. CurrentSince May 28, 2025 Accepting new patients
Anesis Center for Marriage and Family Therapy Clinical CurrentSince Apr 11, 2026 Accepting new patients
Anesis Foundation for Mental Health Inc. CurrentSince Apr 11, 2026 Accepting new patients

Locations

26 Schroeder Ct
Ste 210
Madison, WI 53711
Phone (608) 219-5065

2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530

815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1023843646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FORWARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443",
            "telephone_number": "608-268-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FORWARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443",
            "telephone_number": "608-268-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOYAH",
        "first_name": "QUEEN LIZA",
        "middle_name": "AYINESOM",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135495-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.