MADALYN MOUANOUTOUA MSW, LICSW
NPI 1568184828
Social Worker - Clinical in Bloomington, MN
About Madalyn Mouanoutoua Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADALYN MOUANOUTOUA MSW, LICSW (NPI 1568184828) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (31120) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madalyn Mouanoutoua Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madalyn Mouanoutoua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 clinicians in this Medicare group
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 55425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, MN 55425
BLOOMINGTON, MN 55425
BLOOMINGTON, MN 55425
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 Madalyn Mouanoutoua's NPI number?
The NPI number for Madalyn Mouanoutoua is 1568184828. It was assigned to this individual provider in the NPPES registry on September 14, 2022.
Where is Madalyn Mouanoutoua located?
Madalyn Mouanoutoua practices at 1550 American Blvd E Ste 550, Bloomington, MN 55425. The listed phone number is (612) 268-5858.
What is Madalyn Mouanoutoua's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Madalyn Mouanoutoua enrolled in Medicare?
Yes. Madalyn Mouanoutoua is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madalyn Mouanoutoua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madalyn Mouanoutoua reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). 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 Madalyn Mouanoutoua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madalyn Mouanoutoua accept?
Health plans from HealthPartners list Madalyn Mouanoutoua 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 Madalyn Mouanoutoua was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Madalyn Mouanoutoua, MSW, LICSW · NPI 1568184828
Clinical provider in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since September 14, 2022.
## Identity
- **NPI:** 1568184828 (Entity type: Individual)
- **Enumerated:** September 14, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 31120 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 AMERICAN BLVD E STE 550, Bloomington, MN 55425-3100
- **Phone:** (612) 268-5858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568184828) · Data from the CMS NPPES public registry.