Madison Keel Peton, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

825 Nicollet Mall Ste 455
Minneapolis, MN 55402-2606

Phone

(763) 333-8001

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Alpha Service Industries, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1326172057
  NPD (past)
• Forensic Mental Health Specialists

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Bear Lake, MN
  • NPI 1215512199
  NPD (past)
• Forensic Mental Health Specialists

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk River, MN
  • NPI 1396246898
  NPD (past)

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1811510332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 VAN BUREN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132431",
            "telephone_number": "952-688-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 455",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "763-333-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 White Bear Pkwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551103691",
            "country_code": "US",
            "telephone_number": "763-333-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Van Buren St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554132431",
            "country_code": "US",
            "telephone_number": "952-688-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETON",
        "first_name": "MADISON",
        "middle_name": "KEEL",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://emergencebehavioralhealth.com/refer-a-client/",
            "affiliation": "Y",
            "endpointDescription": "Website URL",
            "affiliationName": "Emergence Addiction & Behavioral Therapies",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "825 Nicollet Mall Ste 455",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554022606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy A Peterson, DDS, MS
• Tracy Peterson, PTA
• Trevor Todd Peterson
• William Robert Peterson
• Iqbal Petker
• Alana Marie Petrassi
• Brooke Petrich, PHARMD
• Katie M Petricka
• Ingrid A Petrilla, PT
• Katherine Joan Petroff, MA, LADC

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.