Individual provider Active NPI

Madeline S Wabiszewski, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1518724699
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11537123 Issued in WI
Practice address
2727 Marshall CT
Madison, WI 53705-2255
Phone
(608) 238-9354
Fax
(608) 238-7675
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 11537123 WI Primary

Addresses

Primary practice location

2727 Marshall CT
Madison, WI 53705-2255

Mailing address

2727 Marshall CT
Madison, WI 53705-2255
Phone (608) 238-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240416000970 WI Practitioner - Clinical Social Worker 4385083989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Services SCGroup PAC ID 4789656083, 20 clinicians

Practice addresses (Care Compare)

2727 Marshall CT
Madison, WI 53705-2255
Phone (608) 238-9354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11537123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services SC Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

2727 Marshall Ct
Madison, WI 53705
Phone (608) 238-9354

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1518724699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MARSHALL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052255",
            "telephone_number": "608-238-9354",
            "fax_number": "608-238-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MARSHALL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052255",
            "telephone_number": "608-238-9354",
            "fax_number": "608-238-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABISZEWSKI",
        "first_name": "MADELINE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11537123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.