Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADELINE ANNELISE PEDERSEN LSWA
NPI 1558075176
Social Worker - Clinical in Spokane Valley, WA

Active since January 09, 2023
12121 E MISSION AVE STE D, SPOKANE VALLEY, WA 99206(509) 505-4227 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Annelise Pedersen Lswa NPPES

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

MADELINE ANNELISE PEDERSEN LSWA (NPI 1558075176) is an individual clinical provider in Spokane Valley, Washington and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1558075176
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADELINE ANNELISE PEDERSENCredential: LSWA
Location Address12121 E MISSION AVE STE DSpokane Valley, WA 99206-4832
Mailing Address12121 E Mission Ave Ste DSpokane Valley, WA 99206-4832 · (509) 505-4227
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1558075176 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.
12121 E MISSION AVE STE D, Spokane Valley, WA 99206

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
12121 E MISSION AVE STE D
SPOKANE VALLEY, WA 99206
Physical Therapist
12121 E MISSION AVE STE D
SPOKANE VALLEY, WA 99206

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 Pedersen's NPI number?

The NPI number for Madeline Pedersen is 1558075176. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Madeline Pedersen located?

Madeline Pedersen practices at 12121 E Mission Ave Ste D, Spokane Valley, WA 99206. The listed phone number is (509) 505-4227.

What is Madeline Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Madeline Pedersen was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.