MARY WETHERALL LICSW
NPI 1881570919
Social Worker - Clinical in Minneapolis, MN

Active since August 13, 2025PECOS Enrolled
730 E 38TH ST, MINNEAPOLIS, MN 55407(612) 217-0584 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Wetherall Licsw NPPES

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

MARY WETHERALL LICSW (NPI 1881570919) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (31509) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2022).

NPPES Registry Identity

NPI1881570919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY WETHERALLCredential: LICSW
Location Address730 E 38TH STMinneapolis, MN 55407-5217
Mailing Address2949 Benjamin St NeMinneapolis, MN 55418-2305 · (651) 500-0640
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2022
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
NPI 1881570919 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 · 31509
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.

730 E 38TH ST, Minneapolis, MN 55407

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 (PECOS)

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

PECOS PAC ID1052800067
PECOS Enrollment IDI20251030000453
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 55407 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 7

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

Dietitian, Registered
730 E 38TH ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
730 E 38TH ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
730 E 38TH ST
MINNEAPOLIS, MN 55407
Marriage & Family Therapist
730 E 38TH ST
MINNEAPOLIS, MN 55407
Marriage & Family Therapist
730 E 38TH ST
MINNEAPOLIS, MN 55407
Clinic/Center (Mental Health (Including Community Mental Health Center))
730 E 38TH ST, SUITE 101
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
730 E 38TH ST
MINNEAPOLIS, MN 55407

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 Mary Wetherall's NPI number?

The NPI number for Mary Wetherall is 1881570919. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Mary Wetherall located?

Mary Wetherall practices at 730 E 38th St, Minneapolis, MN 55407. The listed phone number is (612) 217-0584.

What is Mary Wetherall's specialty?

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

Is Mary Wetherall enrolled in Medicare?

Yes. Mary Wetherall is registered in the Medicare PECOS enrollment system.

What insurance does Mary Wetherall accept?

Health plans from HealthPartners list Mary Wetherall 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 Mary Wetherall was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.