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THERESA HELGESON LCSW
NPI 1104348465
Social Worker - Clinical in Genoa, WI

Active since July 08, 2017PECOS Enrolled
E968 GILARDI LN, GENOA, WI 54632(608) 386-5331 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2025, Jul 21, 2022, Oct 7, 2021 and 3 more (6 updates tracked since 2017).

About Theresa Helgeson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA HELGESON LCSW (NPI 1104348465) is an individual clinical provider in Genoa, Wisconsin, licensed in Wisconsin (8968) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Genoa.

NPPES Registry Identity

NPI1104348465
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA HELGESONCredential: LCSW
Location AddressE968 GILARDI LNGenoa, WI 54632-6800
Mailing AddressE968 Gilardi LnGenoa, WI 54632-6800 · (608) 668-2332
Phone(608) 386-5331
Sole ProprietorYes
Enumeration DateJuly 8, 2017
Last NPPES UpdateJune 29, 20256 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
✔ NPI 1104348465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 8968✔ Licensed in IA · 108650
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 130453-121 (WI)
E968 GILARDI LN, Genoa, WI 54632
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Secondary Practice Location 1

Location 1E968 Gilardi LnGenoa, WI 54632-6800 · Phone (608) 386-5331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Helgeson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Helgeson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctor On Demand Professionals P C
1,678 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Helgeson's NPI number?

The NPI number for Theresa Helgeson is 1104348465. It was assigned to this individual provider in the NPPES registry on July 8, 2017.

Where is Theresa Helgeson located?

Theresa Helgeson practices at E968 Gilardi Ln, Genoa, WI 54632. The listed phone number is (608) 386-5331.

What is Theresa Helgeson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theresa Helgeson enrolled in Medicare?

Yes. Theresa Helgeson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Helgeson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Helgeson reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Helgeson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Helgeson accept?

Health plans from Anthem Blue Cross and Blue Shield, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Theresa Helgeson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Helgeson was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.