Annalise Rehwaldt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29221 Issued in MN

Practice address

1519 Central Pkwy Ste 260
Eagan, MN 55121-2488

Phone

(651) 212-4920

NPI assigned

Apr 24, 2025

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

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.

• Wild Tree Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1528451408
  Medicare reassignment NPD
• Sarah C. Chambers, P.a.

  • Health Service Clinic/Center
  • Saint Paul, MN
  • NPI 1942358379
  NPD (past)

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1942097795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HIGHLAND VIEW AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373021",
            "telephone_number": "612-404-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CENTRAL PKWY STE 260",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212488",
            "telephone_number": "651-212-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHWALDT",
        "first_name": "ANNALISE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Marie Smith Recer, DC
• Elizabeth Reckow, PHARMD, RPH
• Daniel Braden Redman
• Rehabilitation Consultants, Inc.
• Rehabilitation Specialists PA
• Cynthia Jane Reiff, DC
• Alee Reinholdson
• Kathryn Reinholdt, LADC, LPCC
• Jody Reis-Johnson, M.DIV.,MSW, LICSW
• Rejuv Skin & Laser Clinic

• Clinical Social Worker in Eagan, MN
• Providers in Eagan, 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 Apr 24, 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.