Active NPI
Madison Flattery, MSW, LMSW, LICSW
- Clinical Social Worker
- Eagan, MN
National Provider Identifier
1790169480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35752
- Practice address
- 2935 W Service Rd
Eagan, MN 55121-1375 - Phone
- (515) 809-0848
- NPI assigned
- Jul 13, 2015
- Last updated
- Jan 26, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35752 | MN | MD | Clinical 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.
-
- Clinical Social Worker
- Altoona, IA
- NPI 1346998895
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.