Peggy L Wetmore, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9719 Issued in MN

Practice address

1155 Willow St TRLR 19N
Faribault, MN 55021-7057

Phone

(507) 213-1795

NPI assigned

Aug 13, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stellar WellnessGroup PAC ID 5597195982, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Stellar Wellness

  • Clinical Social Worker
  • Owatonna, MN
  • NPI 1912536814
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1558247643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WILLOW ST TRLR 19N",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217057",
            "telephone_number": "507-213-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WILLOW ST TRLR 19N",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217057",
            "telephone_number": "507-213-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETMORE",
        "first_name": "PEGGY",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Elizabeth Watts, MSW, LICSW
• Angela Wegner, PTA, ATC
• Kelsey Rae Weinandt, M.S, CCC-SLP
• Christine M Werner, NP-C
• Megan Adrienne Westling, PT
• Chad White, PHARMD
• Wieber Physical Therapy
• David J Wieber, A.T.C.,M.T.C.,L.P.T
• Nicholas Wiese, D.D.S.
• Bradley Robert Wille, M.D.

• Clinical Social Worker in Faribault, MN
• Providers in Faribault, 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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.