Madison Psychological and Spiritual Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC

Practice address

330 W Lakeside St Ste B
Madison, WI 53715-2072

Phone

(414) 801-9208

NPI assigned

Feb 5, 2026

Organization subpart

No

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

Authorized official

Name

Papa Fall, LCSWNPI 1104423342

Title

Owner

Phone

(414) 801-9208

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Papa Fall, LCSW

  • Social Worker
  • Madison, WI
  • NPI 1104423342
  NPD Authorized official

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1235080243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST STE B",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "414-801-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST STE B",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "414-801-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "PAPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-801-9208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.