Cynthia Marie Wiltgen, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15638 Issued in MN

Practice address

10877 Kingsview LN N
Maple Grove, MN 55369-7543

Phone

(612) 801-2820

NPI assigned

Apr 24, 2012

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

• Cynthia Marie Gieseke Former 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.

• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  Medicare reassignment NPD
• CMW Therapy

  • Clinical Social Worker
  • Maple Grove, MN
  • NPI 1184322216
  NPD Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1841558178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 KINGSVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697543",
            "telephone_number": "612-801-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 KINGSVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697543",
            "telephone_number": "612-801-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTGEN",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GIESEKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin T Williams
• Kristina Suzanne Williams, RPH
• Nickolas Williams
• Vonjenet Joi Williams
• Haylie Nicole Wilson
• Barrett Wingard, OD
• Rachel Grace Wingbermuehle, FNP-BC
• Lisa Winter
• Wisconsin Lutheran Child & Family Service ,Inc.
• Elliott Wise, PA-C

• Social Worker in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.