WALTER WALES LICSW, LADC
NPI 1225453426
Social Worker - Clinical in Walker, MN

Active since February 25, 2014PECOS EnrolledAccepts Medicare Assignment
82.64/100
CMS Quality Rating
614 MICHIGAN AVE W, WALKER, MN 56484(218) 547-7700(218) 547-7729 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2018, Mar 30, 2018 (2 updates tracked since 2018).

About Walter Wales Licsw, Ladc NPPES

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

WALTER WALES LICSW, LADC (NPI 1225453426) is an individual clinical provider in Walker, Minnesota, licensed in Minnesota (23322) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225453426
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWALTER WALESCredential: LICSW, LADC
Location Address614 MICHIGAN AVE WWalker, MN 56484-2276
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(218) 547-7729
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 25, 2014
Last NPPES UpdateOctober 25, 20212 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
NPI 1225453426 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
License Licensed in MN · 23322
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303896 (MN)
614 MICHIGAN AVE W, Walker, MN 56484

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Walter Wales Licsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789928680
PECOS Enrollment IDI20181204001723
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
67 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56484 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.21
Promoting Interoperability99
Improvement Activities40
Cost51.14

Other Providers at the Same Location NPPES 8

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

Physical Therapist
614 MICHIGAN AVE W
WALKER, MN 56484
Nurse Practitioner (Family)
614 MICHIGAN AVE W
WALKER, MN 56484
Nurse Practitioner (Family)
614 MICHIGAN AVE W
WALKER, MN 56484
Family Medicine
614 MICHIGAN AVE W
WALKER, MN 56484
Nurse Practitioner (Family)
614 MICHIGAN AVE W
WALKER, MN 56484
Nurse Practitioner (Family)
614 MICHIGAN AVE W
WALKER, MN 56484
Family Medicine
614 MICHIGAN AVE W
WALKER, MN 56484
Physical Therapist
614 MICHIGAN AVE W
WALKER, MN 56484

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 Walter Wales's NPI number?

The NPI number for Walter Wales is 1225453426. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Walter Wales located?

Walter Wales practices at 614 Michigan Ave W, Walker, MN 56484. The listed phone number is (218) 547-7700.

What is Walter Wales's specialty?

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

Is Walter Wales enrolled in Medicare?

Yes. Walter Wales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Walter Wales accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Walter Wales 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.

Is Walter Wales affiliated with any hospitals?

According to CMS data, Walter Wales is affiliated with Sanford Bemidji Medical Center.

When was this NPI record last updated?

The NPPES record for Walter Wales was last updated on October 25, 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.