Maple Grove Therapy and Wellness
NPI 1427432087ActiveOrganization· Social Worker, Clinical· Maple Grove, MN
Social Worker, Clinical in Maple Grove, Minnesota, registered in NPPES in July 2015. The authorized official on file is Kelly Jo Wesner, MSW, LICSW, Owner, Psychotherapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427432087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2015 |
| Last updated in NPPES | Jul 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 17743 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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