Charles Weill

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34631 Issued in MN

Practice address

9820 Garland LN N Apt B206
Maple Grove, MN 55311-4728

Phone

(651) 900-3889

NPI assigned

Apr 20, 2026

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 10,000 Lakes Healing & Wellness LLC

  • Clinical Social Worker
  • Maple Grove, MN
  • NPI 1750225611
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1033053970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 GARLAND LN N APT B206",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114728",
            "telephone_number": "651-900-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 GARLAND LN N APT B206",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114728",
            "telephone_number": "651-900-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILL",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waypoint Minnesota Sports PC
• Sheila Webb, MSW, LICSW
• Kari Webber, MSN RN FNP
• Lauren Elizabeth Webber
• Brad Alan Weeks, O.D.
• Richard Keith Weimar, DDS
• Benjamin Weiss, PT, DPT
• Peyton Lynne Welinski
• John Welter, PA
• Nicole Wempen

• Clinical Social Worker in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.