Individual provider Active NPI

Dawn M Madsen, LMSW

  • Clinical Social Worker
  • Manistee, MI
National Provider Identifier
1275800120
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092448 Issued in MI
Practice address
72 Filer St
Manistee, MI 49660-2717
Phone
(231) 397-1903
NPI assigned
Nov 21, 2011
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 6801092448 MI Primary

Addresses

Primary practice location

72 Filer St
Manistee, MI 49660-2717

Mailing address

302 5TH Ave
Manistee, MI 49660-1356
Phone (231) 397-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20121011000482 MI Practitioner - Clinical Social Worker 1456500222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

72 Filer St
Manistee, MI 49660-2717
Phone (231) 397-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Manistee Hospital CurrentSince Jan 11, 2016 Accepting new patients
Mindful Way Counseling LLC Clinical CurrentSince Feb 16, 2024 Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Jan 11, 2016 Accepting new patients

Locations

1293 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1735

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

72 Filer St
Manistee, MI 49660
Phone (231) 397-1903

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1275800120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 5TH AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601356",
            "telephone_number": "231-397-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FILER ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602717",
            "telephone_number": "231-397-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.