Individual provider Active NPI

Marcus C Padilla

  • Clinical Social Worker
  • Lakeville, MN
National Provider Identifier
1437076809
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23030 Issued in MN
Practice address
16906 Hubbard TRL
Lakeville, MN 55044-5846
Phone
(507) 456-0423
NPI assigned
Jul 6, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 23030 MN Primary

Addresses

Primary practice location

16906 Hubbard TRL
Lakeville, MN 55044-5846

Mailing address

16906 Hubbard TRL
Lakeville, MN 55044-5846
Phone (507) 456-0423

Other practice location 1

7580 160th St W
Lakeville, MN 55044-8348
Phone (507) 456-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16906 Hubbard TRL
Lakeville, MN 55044-5846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1437076809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16906 HUBBARD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445846",
            "telephone_number": "507-456-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16906 HUBBARD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445846",
            "telephone_number": "507-456-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7580 160th St W",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550448348",
            "country_code": "US",
            "telephone_number": "507-456-0423",
            "fax_number": "952-435-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARCUS",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.