Active NPI
Kevin Gerald Madsen
- Clinical Social Worker
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9623512-3501
- Practice address
- 5691 S Redwood Rd Unit 15
Taylorsville, UT 84123-5485 - Phone
- (801) 655-5450
- Fax
- (385) 225-9327
- NPI assigned
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9623512-3501 | UT | Primary |
Addresses
Primary practice location
5691 S Redwood Rd Unit 15
Taylorsville, UT 84123-5485
Mailing address
1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1433 N 1200
Orem, UT 84057-2449
1447 N 1200
Orem, UT 84057-2449
1469 N 1200
Orem, UT 84057-2449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9623512-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowbrook Counseling of Idaho, LLC | Clinical | Current | Accepting new patients |
| Meadowbrook Counseling of Utah LLC | Clinical | Current | Accepting new patients |
Locations
3345 E Chasewood Dr
Ammon, ID 83406
661 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 206-1588
12401 S 450 E
Unit B1
Draper, UT 84020
2972 W Maple Loop Dr
Ste 101
Lehi, UT 84048
Phone (385) 286-8812
1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432
1431 N 1200 W
Orem, UT 84057
Phone (385) 213-2829
5691 S Redwood Rd
Unit 15
Taylorsville, UT 84123
Phone (801) 281-0060
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.
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1023889839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1982019162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 N 1200 W",
"city": "OREM",
"state": "UT",
"postal_code": "840572449",
"telephone_number": "801-655-5450",
"fax_number": "385-225-9327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5691 S REDWOOD RD UNIT 15",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235485",
"telephone_number": "801-655-5450",
"fax_number": "385-225-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "KEVIN",
"middle_name": "GERALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9623512-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.