BREA WALLAKER
NPI 1972098440
Social Worker - Clinical in Grand Rapids, MN

Q: What is Brea Wallaker's NPI number?

The NPI number for Brea Wallaker is 1972098440. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Brea Wallaker'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 Brea Wallaker was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 27, 2018PECOS EnrolledAccepts Medicare Assignment

215 SE 2ND AVE, GRAND RAPIDS, MN 55744(218) 326-1274(218) 326-9787 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brea Wallaker NPPES

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

BREA WALLAKER (NPI 1972098440) is an individual clinical provider in Grand Rapids, Minnesota, licensed in Minnesota (23429) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972098440

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBREA WALLAKER

Location Address215 SE 2ND AVEGrand Rapids, MN 55744-3615

Mailing Address916 La Prairie AveGrand Rapids, MN 55744-3319 · (218) 600-7218

Phone(218) 326-1274

Fax(218) 326-9787

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 27, 2018

✔ NPI 1972098440 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 · 23429

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.

215 SE 2ND AVE, Grand Rapids, MN 55744

Open in Google Maps ↗

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

Brea Wallaker 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 ID7214280387

PECOS Enrollment IDI20181019001945

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 55744 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.

CATHLEEN BENGTSON MA, LP

Psychologist (Clinical)