MADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC
NPI 1235080243
Social Worker - Clinical in Madison, WI

Active since February 05, 2026
330 W LAKESIDE ST STE B, MADISON, WI 53715(414) 801-9208 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Psychological And Spiritual Wellness, Llc NPPES

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

MADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC (NPI 1235080243) is a healthcare organization registered as a clinical in Madison, Wisconsin and active in the NPI registry since February 2026. The organization lists Papa Fall, Owner, as its authorized official.

NPPES Registry Identity

NPI1235080243
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC
Location Address330 W LAKESIDE ST STE BMadison, WI 53715-2072
Mailing Address330 W Lakeside St Ste BMadison, WI 53715-2072 · (414) 801-9208
Organization SubpartNo
Authorized OfficialPapa FallOwner · (414) 801-9208
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1235080243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
330 W LAKESIDE ST STE B, Madison, WI 53715

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Psychological And Spiritual Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Madison Psychological And Spiritual Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1104423342
330 W LAKESIDE ST STE B
Madison, WI 53715
(414) 801-9208
✔ PECOSSame address

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

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 Madison Psychological And Spiritual Wellness, LLC's NPI number?

The NPI number for Madison Psychological And Spiritual Wellness, LLC is 1235080243. It was assigned to this organization in the NPPES registry on February 5, 2026.

Where is Madison Psychological And Spiritual Wellness, LLC located?

Madison Psychological And Spiritual Wellness, LLC is located at 330 W Lakeside St Ste B, Madison, WI 53715. The listed phone number is (414) 801-9208.

What is Madison Psychological And Spiritual Wellness, LLC's specialty?

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

Is Madison Psychological And Spiritual Wellness, LLC enrolled in Medicare?

Yes. Madison Psychological And Spiritual Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Psychological And Spiritual Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Madison Psychological And Spiritual Wellness, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madison Psychological And Spiritual Wellness, LLC accept?

Health plans from Quartz list Madison Psychological And Spiritual Wellness, LLC 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 Madison Psychological And Spiritual Wellness, LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.