Madeleine Carlson-Widolff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68751 Issued in TX

Practice address

600 W Campbell Rd Ste 1
Richardson, TX 75080-3357

Phone

(815) 973-7117

Fax

(224) 788-5112

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madeleine.carlson-widolff.1@22469.direct.athenahealth.com

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD
• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1740689660
  NPD (past)
• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1891243655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD STE 1",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "815-973-7117",
            "fax_number": "224-788-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD STE 1",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "815-973-7117",
            "fax_number": "224-788-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Plum St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605063462",
            "country_code": "US",
            "telephone_number": "630-966-4475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5028 Meadowbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761033423",
            "country_code": "US",
            "telephone_number": "815-379-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON-WIDOLFF",
        "first_name": "MADELEINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caregivers Home Health TX Inc
• Caremark LLC
• Caring Minds LLC
• Heather Lynn Carlile, MA, LPC
• Taylor Monsour Carlisi, MS, RDN, LD
• Elisabeth Lee Carlson, L. AC MSTOM
• Patricia L Carnine, OTR
• Carol Beth Norton, MD PA
• Carol Cole Connections, Inc.
• Carol Tripp Smith, LPC, PLLC

• Clinical Social Worker in Richardson, TX
• Providers in Richardson, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.