Active NPI
Madilyne Drew Harmston, MSW, LICSW
- Clinical Social Worker
- Stillwater, MN
National Provider Identifier
1669828927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27922
- Practice address
- 14949 62ND St N
Stillwater, MN 55082-6132 - Phone
- (651) 275-7400
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 27922 | MN | Primary |
Addresses
Primary practice location
14949 62ND St N
Stillwater, MN 55082-6132
Mailing address
3030 Holmes Ave S Apt S141
Minneapolis, MN 55408-2370
Phone (612) 433-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1669828927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 HOLMES AVE S APT S141",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082370",
"telephone_number": "612-433-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14949 62ND ST N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826132",
"telephone_number": "651-275-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMSTON",
"first_name": "MADILYNE",
"middle_name": "DREW",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "27922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.