Individual provider Active NPI

Natia Wilcek, LICSW

  • Clinical Social Worker
  • Vadnais Heights, MN
National Provider Identifier
1982162707
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1044 Centerville Cir
Vadnais Heights, MN 55127-6346
Phone
(612) 467-9212
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1044 Centerville Cir
Vadnais Heights, MN 55127-6346

Mailing address

1044 Centerville Cir
Vadnais Heights, MN 55127-6346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230626001182 MN Practitioner - Clinical Social Worker 9739568981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metanoia Therapy, PLLCGroup PAC ID 7214395102, 2 clinicians

Practice addresses (Care Compare)

1044 Centerville Cir
Vadnais Heights, MN 55127-6346
Phone (612) 467-9212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metanoia Therapy, PLLC CurrentSince May 10, 2023 Accepting new patients
Crosswinds Counseling Clinical Past Accepting new patients

Locations

1044 Centerville Cir
Vadnais Heights, MN 55127
Phone (612) 467-9212

4525 White Bear Pkwy
Ste 119
White Bear Lake, MN 55110
Phone (612) 467-9212

4463 White Bear Pkwy
Ste 100
White Bear Lake, MN 55110
Phone (612) 467-9212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1982162707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276346",
            "telephone_number": "612-467-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCEK",
        "first_name": "NATIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.