Individual provider · Type 1 NPI

Zackary Hoyt Madison, LCSW

Clinical Social Worker · Bend, OR

NPI number 1750824306 Active

Practice location

1340 NW Wall St
Bend, OR 97703-1985

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL18086 (OR)
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1750824306

Zackary Hoyt Madison, LCSW's National Provider Identifier is 1750824306, issued on Nov 30, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on May 28, 2026.