Madison Alicia Sweet, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

076887 Issued in IA

Practice address

10542 Justin Dr
Urbandale, IA 50322-3730

Phone

(515) 344-4148

NPI assigned

Jul 6, 2015

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Madison Alicia Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Women's Wellness, LLC

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1881349322
  NPD Authorized official

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1568845808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10542 JUSTIN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223730",
            "telephone_number": "515-344-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 JUSTIN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223730",
            "telephone_number": "515-344-4148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500106072",
            "country_code": "US",
            "telephone_number": "515-344-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "MADISON",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "076887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711185",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "1568845808",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "JACKSON",
            "middle_name": "ALICIA",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Ann Sturdevant
• Maggie Suits, LMHC
• Support Services of Iowa, LLC
• Supreme Care LLC
• Jill Swallow
• Erik D. Swenson, MD
• Laura Taggart, LMHC
• Rebecca Tayler
• Caitie Taylor, MS, LMHC-T
• Dawn Margaret Taylor, BC - HIS

• Social Worker in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.