Individual provider Active NPI

Madison Lynne Krause

  • Clinical Social Worker
  • Moline, IL
National Provider Identifier
1871313973
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149041259 Issued in IL
Practice address
2200 52ND Ave
Moline, IL 61265-6308
Phone
(309) 797-2900
NPI assigned
Oct 14, 2024
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149041259 IL Primary

Addresses

Primary practice location

2200 52ND Ave
Moline, IL 61265-6308

Mailing address

9 Blackhawk Hills CT
Rock Island, IL 61201-6935
Phone (309) 716-6001

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

LicenseStateTypeSpecialty
149041259ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southpark Psychology LTD Clinical CurrentSince Aug 17, 2026 Accepting new patients
Advanced Cardiovascular Consultants,SC CurrentSince Aug 17, 2026 Accepting new patients

Locations

2200 52nd Ave
Moline, IL 61265
Phone (309) 788-7522

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1871313973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BLACKHAWK HILLS CT",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016935",
            "telephone_number": "309-716-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 52ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656308",
            "telephone_number": "309-797-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "MADISON",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149041259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.