Addison R Thelen, LICSW in Golden Valley, MN - Medicare Social Worker Provider

Addison R Thelen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Golden Valley, Minnesota. Her current practice location is 4284 Dahlberg Dr, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 873-5383.

Addison R Thelen is licensed to practice in Minnesota (license number 29379) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629811955.

Contact Information

	Addison R Thelen, LICSW
	4284 Dahlberg Dr, Golden Valley, MN 55422-4805
	(952) 873-5383
	(952) 562-2827

Map and Direction

Healthcare Provider's Profile

Full Name	Addison R Thelen
Gender	Female
Speciality	Social Worker - Clinical
Location	4284 Dahlberg Dr, Golden Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629811955
Provider Enumeration Date: 06/14/2024
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 4183169824
Enrollment ID: I20240717002649

Medical Identifiers

Medical identifiers for Addison R Thelen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629811955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29379 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Addison R Thelen allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addison R Thelen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Addison R Thelen, LICSW 1113 50th Ave N, Minneapolis, MN 55430-2687 Ph: (952) 250-1754	Addison R Thelen, LICSW 4284 Dahlberg Dr, Golden Valley, MN 55422-4805 Ph: (952) 873-5383

Reviews and Comments

Social Worker in Golden Valley, MN

Iva Joan Stauffer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422 Phone: 612-617-7802 Fax: 612-331-6772
Melia Joy Mccubbin, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400
Irwin Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Golden Valley Rd Ste 100, Golden Valley, MN 55422 Phone: 763-753-7310 Fax: 763-753-6529
Mrs. Joyce Lynn Ratner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, Golden Valley, MN 55426 Phone: 612-281-6391
Soreya Mohamud Jama, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 Fax: 952-658-0434
Ms. Rebecca Ann Malooly, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Loring Ln, Golden Valley, MN 55422 Phone: 651-439-0708
Saundra Bryant-lamb, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd, Golden Valley, MN 55426 Phone: 763-544-1006

Addison R Thelen, LICSW - Medicare Clinical Social Worker in Golden Valley, MN