Active NPI
Shalynn Dawn Kilian
- Social Worker
- Madison, WI
National Provider Identifier
1790674224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 134490-121
- Practice address
- 2120 Fordem Ave
Madison, WI 53704-4696 - Phone
- (608) 210-0125
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 134490-121 | WI | Primary |
Addresses
Primary practice location
2120 Fordem Ave
Madison, WI 53704-4696
Mailing address
621 Hubbell St
Marshall, WI 53559-8604
Phone (920) 285-0635
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134490-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1790674224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 HUBBELL ST",
"city": "MARSHALL",
"state": "WI",
"postal_code": "535598604",
"telephone_number": "920-285-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044696",
"telephone_number": "608-210-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILIAN",
"first_name": "SHALYNN",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "134490-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.