ALYSSA WEHR (LICSW) – Social Worker, NPI 1306386107

ALYSSA WEHR (LICSW) is a healthcare provider. based in St louis park, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 24234 (MN). The NPI Number for ALYSSA WEHR (LICSW) is 1306386107

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA WEHR (LICSW)
NPI
1306386107
Phone
(952) 541-2500
Address
1665 Utica Ave S Ste 100
Enumeration Date
28 February 2017
Last Update Date
23 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635938777
Graduation Year
2013 (13 years ago)
PAC ID
3375885841
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20190502001220
Address ID
MN554161588ST1665XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for ALYSSA WEHR (LICSW)

  • 1665 Utica Ave S Ste 100

    St Louis Park, MN 554163476

    Phone: (952) 541-2500

    Type: Location

  • 1430 Highway 96 E

    MS 32300A

    White Bear Lake, MN 551103653

    Phone: (952) 967-6614

    Type: Location

  • Washburn Center for Children, 1100, Glenwood Avenue, Sumner-Glenwood, Minneapolis, Hennepin County, Minnesota, 55405, United States

    MINNEAPOLIS, MN 554051430

    Phone: (612) 871-1454

    Fax: (612) 871-1505

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190502001220IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759293954View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ALYSSA WEHR (LICSW)?
Save NPI 1306386107 if you need a stable reference for ALYSSA WEHR (LICSW).
Is ALYSSA WEHR (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ALYSSA WEHR (LICSW) treat or focus on?
Patients typically see ALYSSA WEHR (LICSW) under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where is ALYSSA WEHR (LICSW)'s primary listing?
We display St Louis Park, Minnesota because that is what the record indicates for ALYSSA WEHR (LICSW).
Is ALYSSA WEHR (LICSW) a real provider?
This page reflects official NPPES data for NPI 1306386107. Always confirm identity and privileges with the practice and licensing boards.

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