Provider Demographics
NPI:1316751308
Name:HOUSDEN, MADISON K (LCSW)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:K
Last Name:HOUSDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 MOUNT HOMER RD APT 52
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6266
Mailing Address - Country:US
Mailing Address - Phone:352-871-2575
Mailing Address - Fax:
Practice Address - Street 1:611 MOUNT HOMER RD APT 52
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6266
Practice Address - Country:US
Practice Address - Phone:352-871-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW242171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical