Gordon W Hoelscher, MSSA LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1788 Issued in MN

Practice address

624 S 13TH St
Range Mental Health Center Inc
Virginia, MN 55792

Phone

(218) 749-2881

Fax

(218) 749-3806

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Residential Services of NE MN IncGroup PAC ID 2062637663, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Residential Services of NE MN Inc.

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1821150236
  Medicare reassignment Care Compare group
• Firstsolutions

  dba Superior Health Pharmacy

  • Community/Retail Pharmacy
  • Two Harbors, MN
  • NPI 1780600759
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700987955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S 13TH ST",
            "address_2": "RANGE MENTAL HEALTH CENTER INC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S 13TH ST",
            "address_2": "RANGE MENTAL HEALTH CENTER INC",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELSCHER",
        "first_name": "GORDON",
        "middle_name": "W",
        "credential": "MSSA  LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jon Hill, CRNA
• Laurel Ellen Hillstrom, LPCC
• Kayla Hintz, CCC/SLP
• Hannah Ruth Hoche
• Amber M. Hocking, PT
• Kenneth Carl Holbeck, DDS
• Jenna Rose Holtorf
• Zachary B Horoshak, PA-C
• Clara R Hoss, ARRN, CRNA
• Jarin Michelle Houdek, PHARMD

• Clinical Social Worker in Virginia, MN
• Providers in Virginia, 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 Jul 8, 2007; 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.