Individual provider Active NPI

Madison Myers, LSW

  • Social Worker
  • Dekalb, IL
National Provider Identifier
1841090636
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.116313 Issued in IL
Practice address
1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990
Phone
(779) 201-8006
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.116313 IL Primary

Addresses

Primary practice location

1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990

Mailing address

1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.116313ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions: Integrative Healing & Well Being LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

1500 E Lincoln Hwy
Ste A
DeKalb, IL 60115
Phone (779) 201-8006

1500 E Lincoln Hwy
Ste 1
DeKalb, IL 60115
Phone (779) 201-8006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1841090636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-201-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MADISON",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.116313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.