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MADELINE CLAUDE
NPI 1053967752
Social Worker - Clinical in Centerville, UT

Active since August 18, 2019PECOS EnrolledAccepts Medicare Assignment
520 N MARKET PLACE DR, CENTERVILLE, UT 84014(801) 934-3373 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2022, Aug 18, 2019 (2 updates tracked since 2019).

About Madeline Claude NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE CLAUDE (NPI 1053967752) is an individual clinical provider in Centerville, Utah, licensed in Utah (11792012-3501) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1053967752
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADELINE CLAUDE
Location Address520 N MARKET PLACE DRCenterville, UT 84014-4901
Mailing Address520 N Market Place DrCenterville, UT 84014-4901 · (801) 934-3373
Phone(801) 934-3373
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateAugust 18, 2019
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1053967752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 11792012-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
520 N MARKET PLACE DR, Centerville, UT 84014
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Secondary Practice Location 1

Location 1750 N Freedom BlvdProvo, UT 84601-1677 · Phone (801) 373-4760 · Fax (801) 373-0639

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Claude is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082090527
PECOS Enrollment IDI20221006000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Claude reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Davis Psychological Services
Same address
Mental Health (Including Community Mental Health Center)
520 N MARKET PLACE DR STE 200
Centerville, UT 84014
  • Reassigned Medicare billing, Utah enrollment
  • 21 clinicians in this Medicare group
NPI 1386142396 (801) 934-3373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Claude's NPI number?

The NPI number for Madeline Claude is 1053967752. It was assigned to this individual provider in the NPPES registry on August 18, 2019.

Where is Madeline Claude located?

Madeline Claude practices at 520 N Market Place Dr, Centerville, UT 84014. The listed phone number is (801) 934-3373.

What is Madeline Claude's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Madeline Claude enrolled in Medicare?

Yes. Madeline Claude is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Madeline Claude's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Claude reassigns Medicare benefits to South Davis Psychological Services (Centerville, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Claude's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Claude accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Madeline Claude as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeline Claude was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.