Madeline Jessen, LCSW
Social Worker, Clinical in Columbia, MO. Individual provider (NPI-1).
NPI number1194454041
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1194454041
- Entity type
- Individual (NPI-1)
- Name
- Madeline Jessen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2022
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2024027277 | MO | Yes |
Other names
- Madeline Gajdosik (Former Name)
Practice location
3501 Berrywood DrColumbia, MO 65201-6584
Phone 844-853-8937
Mailing address
1800 CommunityClinton, MO 64735-8804
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