Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madelyn Audrey Larsin, LISCW

Individual provider Clinical Social Worker · NPI 1063284974

Madelyn Audrey Larsin, LISCW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2021, 5 years ago. Practices with Relate Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Phone: (952) 932-7277
Fax: (952) 932-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 30114 (MN)

Record details

NPI number1063284974
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISCW
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Relate Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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