Active NPI
Madison Carmean
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1700547312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33011921A
- Practice address
- 2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100 - Phone
- (260) 266-0780
- Fax
- (260) 266-0785
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 33011921A | IN | Primary |
Addresses
Primary practice location
2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Mailing address
2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Phone (260) 266-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2700 Lafayette St
Suite 110
Fort Wayne, IN 46806-1100
6619 Brotherhood Way
Fort Wayne, IN 46825-4226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33011921A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1700547312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 LAFAYETTE ST STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061100",
"telephone_number": "260-266-0780",
"fax_number": "260-266-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 LAFAYETTE ST STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061100",
"telephone_number": "260-266-0780",
"fax_number": "260-266-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMEAN",
"first_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "33011921A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.