Individual provider Active NPI

Madison Flattery, MSW, LMSW, LICSW

  • Clinical Social Worker
  • Eagan, MN
National Provider Identifier
1790169480
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35752 Issued in MN
Practice address
2935 W Service Rd
Eagan, MN 55121-1375
Phone
(515) 809-0848
NPI assigned
Jul 13, 2015
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077994 IA
Clinical Social Worker 1041C0700X 35752 MN Primary

Addresses

Primary practice location

2935 W Service Rd
Eagan, MN 55121-1375

Mailing address

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (515) 809-0848

Other names 1

  • Madison Reed Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
35752MNMDClinical Social Worker

Organizations & group practices 1

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1790169480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306",
            "telephone_number": "515-809-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 W SERVICE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211375",
            "telephone_number": "515-809-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATTERY",
        "first_name": "MADISON",
        "credential": "MSW, LMSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "077994",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "35752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "REED",
            "credential": "MSW, LMSW, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.