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ADDISON R THELEN LICSW
NPI 1629811955
Social Worker - Clinical in Golden Valley, MN

Active since June 14, 2024PECOS Enrolled
4284 DAHLBERG DR, GOLDEN VALLEY, MN 55422(952) 873-5383(952) 562-2827 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Addison R Thelen Licsw NPPES

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

ADDISON R THELEN LICSW (NPI 1629811955) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (29379) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1629811955
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameADDISON R THELENCredential: LICSW
Location Address4284 DAHLBERG DRGolden Valley, MN 55422-4805
Mailing Address1113 50th Ave NMinneapolis, MN 55430-2687 · (952) 250-1754
Phone(952) 873-5383
Fax(952) 562-2827
Sole ProprietorNo
Enumeration DateJune 14, 2024
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1629811955 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 · 29379
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.
4284 DAHLBERG DR, Golden Valley, MN 55422
Open in Google Maps ↗

Other Names 1

Professional Name (2)Addie Thelen Licsw

Secondary Practice Location 1

Location 1122 W Franklin Ave Ste 323Minneapolis, MN 55404-2452 · Phone (612) 871-3759

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addison R Thelen 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 55422 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 6

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

MARTHA ANDERSON LMFT
Marriage & Family Therapist
4284 DAHLBERG DR
GOLDEN VALLEY, MN 55422
Hennepin County (952) 428-6332
CASPERSEN, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4284 DAHLBERG DR
GOLDEN VALLEY, MN 55422
Hennepin County (952) 428-6332
ELIZABETH MARY SCHUMACK LICSW
Social Worker (Clinical)
4284 DAHLBERG DR
GOLDEN VALLEY, MN 55422
Hennepin County (612) 888-4788
FAWN APRIL VOGT LPCC, LADC
Counselor (Professional)
4284 DAHLBERG DR
GOLDEN VALLEY, MN 55422
Hennepin County (952) 428-6332
MRS. GRETCHEN MARIE NELSON MSW
Social Worker (Clinical)
4284 DAHLBERG DR
MINNEAPOLIS, MN 55422
Hennepin County (952) 239-8478
MRS. ANGIE GWIAZDON LMFT, MSE
Marriage & Family Therapist
4284 DAHLBERG DR
GOLDEN VALLEY, MN 55422
Hennepin County (952) 428-6332

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 Addison Thelen's NPI number?

The NPI number for Addison Thelen is 1629811955. It was assigned to this individual provider in the NPPES registry on June 14, 2024. The provider is also known as Addie Thelen Licsw.

Where is Addison Thelen located?

Addison Thelen practices at 4284 Dahlberg Dr, Golden Valley, MN 55422. The listed phone number is (952) 873-5383.

What is Addison Thelen's specialty?

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

Is Addison Thelen enrolled in Medicare?

Yes. Addison Thelen is registered in the Medicare PECOS enrollment system.

What insurance does Addison Thelen accept?

Health plans from HealthPartners list Addison Thelen 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 Addison Thelen was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.