Addison R Thelen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29379 Issued in MN

Practice address

4284 Dahlberg Dr
Golden Valley, MN 55422-4805

Phone

(952) 873-5383

Fax

(952) 562-2827

NPI assigned

Jun 14, 2024

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

Other names 1

• Addie Thelen Professional name

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

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.

• Fraser Child and Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1609922194
  Medicare reassignment NPD
• Caspersen, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Golden Valley, MN
  • NPI 1225326036
  NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1629811955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 50TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554302687",
            "telephone_number": "952-250-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 DAHLBERG DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224805",
            "telephone_number": "952-873-5383",
            "fax_number": "952-562-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Franklin Ave Ste 323",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554042452",
            "country_code": "US",
            "telephone_number": "612-871-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THELEN",
        "first_name": "ADDISON",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADDIE",
            "last_name": "THELEN",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Junger Tang, M.D.
• Elizabeth Gamble Taylor, MSW, LICSW
• Alyxandra Susan Teske, A.T.C., A.T.R.
• The Winkley Company
• The Zins Chiropractic Clinic, LTD.
• Thibodeaux Real Estate Conglomerate
• Thomas E Silver Dpmpa
• Cassandra Thomas, DMD
• Peggy Ann Thomas, LICSW
• Irwin Thompson, LICSW

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, 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 Aug 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.