Gretchen M Wesche, MA LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8518 Issued in MN

Practice address

1884 Cross Pointe Way
St Augustine, FL 32092-5010

Phone

(763) 360-8023

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• North Suburban Counseling Center

  • Public Health or Welfare Agency
  • Coon Rapids, MN
  • NPI 1619961711
  NPD
• North Suburban Counseling Ctr

  • Case Management Agency
  • Coon Rapids, MN
  • NPI 1043311368
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1902968308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 CROSS POINTE WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925010",
            "telephone_number": "763-360-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 CROSS POINTE WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925010",
            "telephone_number": "763-360-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Coon Rapids Blvd",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "55433",
            "country_code": "US",
            "telephone_number": "763-784-3008",
            "fax_number": "763-784-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESCHE",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "credential": "MA LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "8518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839057600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Rene Wells, ARNP
• Welltide Orthodontics LLC
• Lenore Welty, MASSAGE THERAPIST
• Wen I Lin M.D., P.a.
• Jaclyn Ruth Werboff-Thurston, LMHC
• Valencia Wesley
• Rebecca Camille West-Richardson
• Kalie West, DPT
• Margot Elizabeth West
• Westminster Pines Inc

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.