JUDITH WODZAK
NPI 1811630510
Speech-Language Pathologist in St Louis Park, MN

Active since April 19, 2022Accepts Medicare Assignment
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3123 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Apr 19, 2022 (2 updates tracked since 2022).

About Judith Wodzak NPPES

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

JUDITH WODZAK (NPI 1811630510) is an individual speech-language pathologist provider in St Louis Park, Minnesota, licensed in Minnesota (528845) and active in the NPI registry since April 2022. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1811630510
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJUDITH WODZAK
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 19, 2022
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1811630510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in MN · 528845 Licensed in WI · 4877154
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

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

Judith Wodzak 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 ID8325547276
PECOS Enrollment IDI20250818002005

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.

Pathology (Anatomic Pathology & Clinical Pathology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Psychologist
3800 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Chiropractor
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine (Rheumatology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811630510, enumerated as an "individual" on April 19, 2022.

The provider is located at 3800 PARK NICOLLET BLVD ST LOUIS PARK, MN 55416 and the phone number is (952) 993-3123.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.