Madisyn Webster

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149041467 Issued in IL

Practice address

200 N Lincoln Ave
O Fallon, IL 62269-1415

Phone

(618) 624-5771

NPI assigned

Apr 14, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Karla Smith Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O Fallon, IL
  • NPI 1366923641
  NPD (past)

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1134062953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 MISSISSIPPI AVE APT 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LINCOLN AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691415",
            "telephone_number": "618-624-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MADISYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150114259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149041467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Antonette Watson-Blake, RBT
• Deanna Weaver
• Kayla Weaver
• Mandy Weaver, DO
• Hannah Jacobs Webber, MD
• Bena Lyn Weeks, FNP-C
• Lorri Weeks
• Donald Alan Weimer, M.D.
• Jessica L. Weis, OD
• Wellness Centered Solutions

• Clinical Social Worker in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.