Individual provider Active NPI

Andala Yakubu, APSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1942994264
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12238123 Issued in WI
Practice address
815 Forward Drive
Madison, WI 53711-2443
Phone
(608) 268-6530
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 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 12238123 WI Primary

Addresses

Primary practice location

815 Forward Drive
Madison, WI 53711-2443

Mailing address

815 Forward Dr
Madison, WI 53711-2443
Phone (608) 286-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000214 WI Practitioner - Clinical Social Worker 0446613293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Anesis Center for Marriage and Family TherapyGroup PAC ID 8628491297, 6 clinicians

Practice addresses (Care Compare)

815 Forward Dr
Madison, WI 53711-2443
Phone (608) 268-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12238123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anesis Center for Marriage and Family Therapy Clinical CurrentSince Jul 10, 2025 Accepting new patients
Anesis Foundation for Mental Health Inc. CurrentSince Feb 24, 2026 Accepting new patients

Locations

2801 International Ln
Ste 207
Madison, WI 53704
Phone (608) 228-4610

815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530

2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1942994264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FORWARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443",
            "telephone_number": "608-286-6530",
            "fax_number": "608-709-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FORWARD DRIVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443",
            "telephone_number": "608-268-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBU",
        "first_name": "ANDALA",
        "name_prefix": "Ms.",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12238123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.