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

Madison Massoth

Individual provider Social Worker · NPI 1578245395

Madison Massoth is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

3433 Broadway St NE Ste 455
Minneapolis, MN 55413-2553
Phone: (612) 979-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 32344 (MN)

Record details

NPI number1578245395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address3433 Broadway St Ne Ste 455, Minneapolis, MN 55413-2553

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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