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MR. THEODORE W WITTE LICSW
NPI 1568686715
Social Worker - Clinical in Saint Paul, MN

Active since April 12, 2007PECOS Enrolled
83.53/100
CMS Quality Rating
1491 SHERBURNE AVE, SAINT PAUL, MN 55104(651) 254-4370(651) 251-2190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Theodore W Witte Licsw NPPES

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

MR. THEODORE W WITTE LICSW (NPI 1568686715) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (15341) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568686715
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THEODORE W WITTECredential: LICSW
Location Address1491 SHERBURNE AVESaint Paul, MN 55104-2416
Mailing Address1491 Sherburne AveSaint Paul, MN 55104-2416 · (651) 254-4370 · Fax (651) 251-2190
Phone(651) 254-4370
Fax(651) 251-2190
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568686715 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 · 15341
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.
1491 SHERBURNE AVE, Saint Paul, MN 55104
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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)

Mr. Theodore W Witte Licsw 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 55104 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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 2

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

RHSC
Psychiatric Residential Treatment Facility
1491 SHERBURNE AVE
SAINT PAUL, MN 55104
Ramsey County (651) 254-4370
MR. JOHN RICHARD MOHN LP
Psychologist
1491 SHERBURNE AVE
SAINT PAUL, MN 55104
Ramsey County (651) 254-4374

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 Theodore Witte's NPI number?

The NPI number for Theodore Witte is 1568686715. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Theodore Witte located?

Theodore Witte practices at 1491 Sherburne Ave, Saint Paul, MN 55104. The listed phone number is (651) 254-4370.

What is Theodore Witte's specialty?

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

Is Theodore Witte enrolled in Medicare?

Yes. Theodore Witte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Witte was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.