Individual provider Active NPI

John Nicholas Madson, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1700520426
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28035 Issued in MN
Practice address
122 Wabasha St S Ste 400
Saint Paul, MN 55107-3394
Phone
(651) 450-2220
NPI assigned
Apr 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 28035 MN Primary

Addresses

Primary practice location

122 Wabasha St S Ste 400
Saint Paul, MN 55107-3394

Mailing address

122 Wabasha St S Ste 400
Saint Paul, MN 55107-3394
Phone (651) 450-2220

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

State licenses

LicenseStateTypeSpecialty
28035MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guild CurrentSince Nov 7, 2025 Accepting new patients
Guild CurrentSince May 1, 2022 Accepting new patients

Locations

122 Wabasha St S
Ste 400
Saint Paul, MN 55107
Phone (651) 450-2220

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1700520426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WABASHA ST S STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073394",
            "telephone_number": "651-450-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WABASHA ST S STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073394",
            "telephone_number": "651-450-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSON",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.