Individual provider Active NPI

Madaline Rose Knaupp, LCSW, CADC, CTP

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1538765474
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026140 Issued in IL
Practice address
7540 Memorial Pkwy SW Ste W
Huntsville, AL 35802-2208
Phone
(256) 824-9171
Fax
(256) 824-9170
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6454C AL
Clinical Social Worker 1041C0700X 149.026140 IL Primary

Addresses

Primary practice location

7540 Memorial Pkwy SW Ste W
Huntsville, AL 35802-2208

Mailing address

685 Providence Main St NW Apt 20
Huntsville, AL 35806-2644
Phone (630) 408-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240617000290 IL Practitioner - Clinical Social Worker 4284177478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2948 Artesian Rd
Suite 112
Naperville, IL 60564-8559
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026140ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Jun 1, 2024 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

28 N 1st St
Ste 201
Geneva, IL 60134
Phone (561) 386-9465

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 2

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1538765474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PROVIDENCE MAIN ST NW APT 20",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062644",
            "telephone_number": "630-408-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 MEMORIAL PKWY SW STE W",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022208",
            "telephone_number": "256-824-9171",
            "fax_number": "256-824-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUPP",
        "first_name": "MADALINE",
        "middle_name": "ROSE",
        "credential": "LCSW, CADC, CTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6454C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.