Individual provider Active NPI

Madison Bodley

  • Clinical Social Worker
  • Plainfield, CT
National Provider Identifier
1174482186
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16218 Issued in CT
Practice address
137 Norwich Rd
Plainfield, CT 06374-1646
Phone
(860) 822-4294
NPI assigned
Jan 16, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 16218 CT Primary

Addresses

Primary practice location

137 Norwich Rd
Plainfield, CT 06374-1646

Mailing address

54 Terry Rd
Gales Ferry, CT 06335-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260306001779 CT Practitioner - Clinical Social Worker 6709368848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 E Town St
Norwich, CT 06360-2317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16218CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Wellness LLC Clinical Current Accepting new patients
United Community and Family Services, Inc. CurrentSince Jan 13, 2026 Accepting new patients
United Community and Family Services, Inc. CurrentSince Jan 13, 2026 Accepting new patients

Locations

47 Town St
Norwich, CT 06360

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": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1174482186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TERRY RD",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NORWICH RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741646",
            "telephone_number": "860-822-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODLEY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "16218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, CT

Sources for this page

Verify at the official NPI Registry.