Individual provider Active NPI

Madeline G. Vielmann, LICSW

  • Clinical Social Worker
  • Medford, MA
National Provider Identifier
1659120095
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120514 Issued in MA
Practice address
200 Boston Ave Ste 1925
Medford, MA 02155-4243
Phone
(617) 533-0416
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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 LICSW1120514 MA Primary

Addresses

Primary practice location

200 Boston Ave Ste 1925
Medford, MA 02155-4243

Mailing address

200 Boston Ave Ste 1925
Medford, MA 02155-4243
Phone (617) 533-0416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250723003223 MA Practitioner - Clinical Social Worker 9638685811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1120514MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adelis Health PLLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

200 Boston Ave
Ste 1925
Medford, MA 02155
Phone (617) 221-9742

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1659120095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE STE 1925",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243",
            "telephone_number": "617-533-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE STE 1925",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243",
            "telephone_number": "617-533-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIELMANN",
        "first_name": "MADELINE",
        "middle_name": "G.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.