Madeleine Marshall, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096540 Issued in IA

Practice address

2441 Coral CT Ste 3
Coralville, IA 52241-2872

Phone

(319) 423-9016

Fax

(319) 249-2398

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Iowa Family Counseling LLC

  • Community/Behavioral Health Agency
  • Kalona, IA
  • NPI 1790348498

  Clinical

  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1851948483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST STE 202",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034757",
            "telephone_number": "319-423-9016",
            "fax_number": "319-249-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CORAL CT STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412872",
            "telephone_number": "319-423-9016",
            "fax_number": "319-249-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 B Ave",
            "address_purpose": "LOCATION",
            "city": "Kalona",
            "state": "IA",
            "postal_code": "522477719",
            "country_code": "US",
            "telephone_number": "641-777-2774 x03",
            "fax_number": "319-333-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MADELEINE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "096540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maddie@heartspaceiowa.com",
            "affiliation": "N",
            "address_1": "2441 Coral Ct Ste 3",
            "city": "Coralville",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522412872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Maher, LMFT
• Abigail Mallek
• Breanna Manders M Manders, PHARMD
• Nichole Manning, PT
• Michael D Markham, LMSW
• Noah James Martin, OTD, OTR/L
• Blake Martinez, MPPD, RDN, LD
• Sarah Louise Martinez
• Sara Anne Mask, RPH
• Mason Associates, LLC

• Clinical Social Worker in Coralville, IA
• Providers in Coralville, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.