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WYATT THOMAS
NPI 1194488080
Social Worker - Clinical in Roseville, MN

Active since October 18, 2021PECOS Enrolled
1700 HIGHWAY 36 W STE 130, ROSEVILLE, MN 55113(952) 460-9003 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wyatt Thomas NPPES

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

WYATT THOMAS (NPI 1194488080) is an individual clinical provider in Roseville, Minnesota, licensed in Minnesota (28233) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194488080
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWYATT THOMAS
Location Address1700 HIGHWAY 36 W STE 130Roseville, MN 55113-4054
Mailing Address1700 Highway 36 W Ste 130Roseville, MN 55113-4054
Phone(952) 460-9003
Sole ProprietorNo
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1194488080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 28233
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.
1700 HIGHWAY 36 W STE 130, Roseville, MN 55113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyatt Thomas 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY MARIE RAMIREZ LICSW
Social Worker (Clinical)
1700 HIGHWAY 36 W STE 130
ROSEVILLE, MN 55113
Ramsey County (952) 460-9057

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 Wyatt Thomas's NPI number?

The NPI number for Wyatt Thomas is 1194488080. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Wyatt Thomas located?

Wyatt Thomas practices at 1700 Highway 36 W Ste 130, Roseville, MN 55113. The listed phone number is (952) 460-9003.

What is Wyatt Thomas's specialty?

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

Is Wyatt Thomas enrolled in Medicare?

Yes. Wyatt Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wyatt Thomas was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.