CARLEEN THEISEN
NPI 1881461143
Social Worker - Clinical in Waite Park, MN

Q: What is Carleen Theisen's NPI number?

The NPI number for Carleen Theisen is 1881461143. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Q: What is Carleen Theisen'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 Carleen Theisen was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 07, 2023PECOS EnrolledAccepts Medicare Assignment

411 3RD ST N, WAITE PARK, MN 56387(320) 230-2013(320) 251-4175 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Carleen Theisen NPPES

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

CARLEEN THEISEN (NPI 1881461143) is an individual clinical provider in Waite Park, Minnesota, licensed in Minnesota (29939) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881461143

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCARLEEN THEISEN

Location Address411 3RD ST NWaite Park, MN 56387-1177

Mailing Address254 12th Ave NWaite Park, MN 56387-1035 · (320) 250-0240

Phone(320) 230-2013

Fax(320) 251-4175

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 7, 2023

NPPES CertifiedDecember 7, 2023

✔ NPI 1881461143 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 · 29939

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.

411 3RD ST N, Waite Park, MN 56387

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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 and accepts Medicare assignment

Carleen Theisen 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 ID7315390879

PECOS Enrollment IDI20240131003293

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 56387 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.

ALLISON KAY NETTER MS LPCC

Counselor (Professional)