Individual provider Active NPI

Madison A Wozniak, LCSW, SW

  • Clinical Social Worker
  • Westmont, IL
National Provider Identifier
1710734546
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018950 Issued in NC
Practice address
1120 S Williams St Apt B5
Westmont, IL 60559-2947
Phone
(616) 916-7974
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018950 NC Primary
Clinical Social Worker 1041C0700X 149.027575 IL
Clinical Social Worker 1041C0700X SW22801 FL

Addresses

Primary practice location

1120 S Williams St Apt B5
Westmont, IL 60559-2947

Mailing address

1340 First Edition Dr Unit 3009
Durham, NC 27703-0977
Phone (616) 916-7974

Other practice location 1

2709 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6462
Phone (919) 877-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260122002230 NC Practitioner - Clinical Social Worker 1052898988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2709 Blue Ridge Rd
Suite 190
Raleigh, NC 27607-0113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22801FLMDClinical Social Worker
149.027575ILMDClinical Social Worker
C018950NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Phoenix Mental Health PLLC CurrentSince Jul 28, 2024 Accepting new patients
Devang Family Services CurrentSince Dec 8, 2025 Accepting new patients
Chicagoland Counseling PLLC Clinical PastSince Jul 28, 2024 Accepting new patients

Locations

745 McClintock Dr
Ste 100
Burr Ridge, IL 60527
Phone (630) 286-9556

2709 Blue Ridge Rd
Ste 190
Raleigh, NC 27607
Phone (571) 274-8132

Organizations & group practices 3

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1710734546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 FIRST EDITION DR UNIT 3009",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030977",
            "telephone_number": "616-916-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S WILLIAMS ST APT B5",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592947",
            "telephone_number": "616-916-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Blue Ridge Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076462",
            "country_code": "US",
            "telephone_number": "919-877-6458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "MADISON",
        "middle_name": "A",
        "credential": "LCSW, SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018950",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.