Madison E Ceculski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13853757-3501 Issued in UT

Practice address

2655 S Lake Erie Dr Ste B
Salt Lake City, UT 84120-7351

Phone

(385) 441-4900

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Project Connection Utah

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1104392802
  Medicare reassignment NPD
• Project Connection Utah LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1366330656
  Medicare reassignment NPD

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1497246771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR STE B",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841207351",
            "telephone_number": "385-441-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LAKE ERIE DR STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841207351",
            "telephone_number": "385-441-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECULSKI",
        "first_name": "MADISON",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13853757-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE BOARD",
            "identifier": "00000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CC Natural Medicine, LLC
• Ccu Diagnostics LC
• Emma Cebilla
• Diego J. Cebrian Chaustre, MD
• Tracy Black Cecchini III, PH.D.
• Kamien Cederlind
• Heather Ceja
• Jan Worsley Cendese, LCSW
• Michael Cengiz
• Orlando Centeno Ramos

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.