MEDICARE: SOPHIE MADSEN, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508493909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOPHIE MADSEN, LCSW

Provider Business Mailing Address
First Line	:	1448 ESPLANADE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3309
Country	:	US
Telephone Number	:	916-996-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 ESPLANADE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3309
Country	:	US
Telephone Number	:	916-996-0385
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SOPHIE ALEXANDRA MADSEN
Credential	:	LCSW
Telephone Number	:	916-996-0385

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	04/07/2026

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