Madilynn Nicole Szoboszlay, LCSW
Individual provider Active NPI Clinical Social Worker · Fairview, TX
NPI 1053944975 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1053944975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116244 (TX)
- Practice address
- 389 Jacob LN
Fairview, TX 75069-6997 - Phone
- (408) 402-2349
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503002205 | AZ | Practitioner - Clinical Social Worker | 1153761366 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22243 | AZ | MD | Clinical Social Worker |
| 64897 | MT | MD | Clinical Social Worker |
| 116244 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storied Souls Therapy, PLLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116244 | TX | Yes |
| Clinical Social Worker | 1041C0700X | 22243 | AZ | |
| Clinical Social Worker | 1041C0700X | 64897 | MT |
Addresses
Primary practice location
389 Jacob LN
Fairview, TX 75069-6997
Mailing address
389 Jacob LN
Fairview, TX 75069-6997
Phone (214) 702-1785
Other providers in Fairview, TX
- Serene Compassion Care Solutions
- Serving Hands ABA , PLLC
- Chelsea Stanford
- Bill Marcus Stiles Jr.
- Storied Souls Therapy, PLLC
- Texas Medical Anesthesia PLLC
- Texas Partners in Medicine PA
- James Edward Thompson
- Town of Fairview
- Vision Heights Care Services LLC
All providers in Fairview, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.