Molly E Westerman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23021 Issued in MN

Practice address

221 Studdart Ave
Graceville, MN 56240-0128

Phone

(320) 200-0552

Fax

(320) 287-7001

NPI assigned

Feb 11, 2020

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Nov 28, 2023 through Nov 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Sprout Midwest Wellness PLLC

  • Clinical Social Worker
  • Graceville, MN
  • NPI 1518733534
  NPD Authorized official
• Stevens County Human Services

  • Case Management Agency
  • Morris, MN
  • NPI 1568693091
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1568094290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562400128",
            "telephone_number": "320-200-0552",
            "fax_number": "320-287-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STUDDART AVE",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562400128",
            "telephone_number": "320-200-0552",
            "fax_number": "320-287-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMAN",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sprout Midwest Wellness PLLC
• St Mary's Regional Health Center (Essentia Health Home Care Graceville)
• Jerrica Thiel, OTR
• Valerie Tritz
• Arthur E Vanvranken, M.D.
• June N Zimmerman, RN,CNP

• Clinical Social Worker in Graceville, MN
• Providers in Graceville, 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 Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.