Individual provider Active NPI

Kathryn Ann Madsen, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1740955566
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17788 Issued in FL
Practice address
2633 Centennial Blvd Ste 100
Tallahassee, FL 32308-0606
Phone
(850) 431-5404
NPI assigned
Aug 13, 2021
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 SW17788 FL Primary

Addresses

Primary practice location

2633 Centennial Blvd Ste 100
Tallahassee, FL 32308-0606

Mailing address

PO Box 180339
Tallahassee, FL 32318-0003
Phone (850) 509-1205

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AllScripts Tallahassee Memorial HealthCare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211004001330 FL Practitioner - Clinical Social Worker 5496153579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Time to Change Counseling CenterGroup PAC ID 5890048250, 8 clinicians

Practice addresses (Care Compare)

1363 E Lafayette St
Tallahassee, FL 32301-4799
Phone (850) 926-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 17, 2023 Accepting new patients
A Time to Change Counseling Center Clinical CurrentSince May 5, 2026 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 30, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 30, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
A Time to Change Counseling Center CurrentSince May 5, 2026 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1363 E Lafayette St
Tallahassee, FL 32301
Phone (850) 296-1900

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

2633 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 431-5404

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

Interoperability endpoints

  • Direct secure messaging: kathrynmadsen@tmhpp.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1740955566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180339",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323180003",
            "telephone_number": "850-509-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 CENTENNIAL BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080606",
            "telephone_number": "850-431-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AllScripts",
            "affiliation": "Y",
            "affiliationName": "Tallahassee Memorial HealthCare",
            "address_1": "2633 Centennial Blvd Ste 100",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323080606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.