Madisen Faull, APSW
Individual provider Active NPI Social Worker · Lancaster, WI
NPI 1639064652 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1639064652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 135471-121 (WI)
- Practice address
- 200 W Alona LN
Lancaster, WI 53813-2202 - Phone
- (608) 723-6357
- Fax
- (608) 723-4417
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135471-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Grant Dba Unified Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 135471-121 | WI | Yes |
Addresses
Primary practice location
200 W Alona LN
Lancaster, WI 53813-2202
Mailing address
200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357
Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.