Thomas Earl Alderson, LICSW
Individual provider Active NPI Clinical Social Worker · Willmar, MN
NPI 1679288229 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1679288229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 30974 (MN)
- Practice address
- 201 28TH Ave SW
Willmar, MN 56201-5241 - Phone
- (320) 214-8558
- Fax
- (320) 235-2733
- NPI assigned
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nystrom and Associates LTD
Practice addresses (Care Compare)
201 28TH Ave SW
Willmar, MN 56201-5241
Phone (320) 214-8558
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251202002335 | MN | Practitioner - Clinical Social Worker | 8325531072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30974 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Clinical | Current |
Accepting new patients |
| Crossroads Counseling Centers, Inc. | Current |
Accepting new patients |
Locations
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
201 28th Ave SW
Willmar, MN 56201
Phone (320) 214-8558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30974 | MN | Yes |
Addresses
Primary practice location
201 28TH Ave SW
Willmar, MN 56201-5241
Mailing address
201 28TH Ave SW
Willmar, MN 56201-5241
Phone (320) 214-8558
Other providers in Willmar, MN
- Lisa Ann Agre
- Abdirisaq M Ahmed
- Yasin Ali Ahmed
- Katherine Ahrens
- Cathryn D Ahrensfeld
- Aless Transportation LLC
- Hassan Ali
- Mohamed Ali
- Carnita Rae Allex
- Alomere Health
All providers in Willmar, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.