Rewilding Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REWILDING THERAPY PLLC

Practice address

815 37TH Ave S Ste 200
Moorhead, MN 56560-5524

Phone

(701) 471-7092

Fax

(701) 401-0267

NPI assigned

Apr 23, 2025

Organization subpart

No

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

Authorized official

Name

Kara Gloe, LCSWNPI 1912572892

Title

Owner/LCSW

Phone

(218) 790-3785

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kara L Gloe, LMSW

  • Clinical Social Worker
  • Moorhead, MN
  • NPI 1912572892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1275320228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 37TH AVE S STE 200",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605524",
            "telephone_number": "701-471-7092",
            "fax_number": "701-401-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 37TH AVE S STE 200",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605524",
            "telephone_number": "701-471-7092",
            "fax_number": "701-401-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWILDING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "GLOE",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "218-790-3785",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Ree, MD
• Georgia Reemts
• Debra Remark, PT
• Renewal Refuge LLC
• Resilient Minds Solution LLC
• Jazmina Priscila Reyes Perez
• Caiden Rheault
• Rashawnda Nicole Rice
• Richard a Kolotkin PHD PA
• Andrea Grace Witte Richards, BCBA

• Clinical Social Worker in Moorhead, MN
• Providers in Moorhead, 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 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.