CHARLES WESTHOLM LICSW
NPI 1770454050
Social Worker - Clinical in Minnetonka, MN

Q: What is Charles Westholm's NPI number?

The NPI number for Charles Westholm is 1770454050. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Charles Westholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Westholm was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 17, 2025PECOS Enrolled

5125 COUNTY ROAD 101 STE 300, MINNETONKA, MN 55345(952) 932-7277(952) 932-9827 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Charles Westholm Licsw NPPES

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

CHARLES WESTHOLM LICSW (NPI 1770454050) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (31231) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770454050

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHARLES WESTHOLMCredential: LICSW

Location Address5125 COUNTY ROAD 101 STE 300Minnetonka, MN 55345-4157

Mailing Address5125 County Road 101 Ste 300Minnetonka, MN 55345-4157 · (952) 932-7277 · Fax (952) 932-9827

Phone(952) 932-7277

Fax(952) 932-9827

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1770454050 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 · 31231

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.

5125 COUNTY ROAD 101 STE 300, Minnetonka, MN 55345

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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)

Charles Westholm Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446724264

PECOS Enrollment IDI20260702001740

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 55345 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 20

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

ALEXANDER FELLERMAN

Counselor (Professional)