GINA MARIE THEISZ (LICSW) – Clinical Social Worker, NPI 1407158496

Clinical Social Worker

GINA MARIE THEISZ (LICSW) is a healthcare provider. based in Saint cloud, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 18283 (MN). The NPI Number for GINA MARIE THEISZ (LICSW) is 1407158496

Main info

Female

20 Years Of Experience

Accepts Medicare Assignment

Name

GINA MARIE THEISZ (LICSW)

NPI

1407158496

Phone

(320) 252-5010

Address

1321 13TH ST N

Enumeration Date

23 November 2010

Last Update Date

30 August 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7636824400

Graduation Year

2006 (20 years ago)

PAC ID

2365628534

Group Practice PAC ID

4486555877

Professional Enrollment ID

I20110524000419

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for GINA MARIE THEISZ (LICSW)

1321 13TH ST N
SAINT CLOUD, MN 563032613
Phone: (320) 252-5010
Fax: (320) 203-1855
Type: Mailing
308 12TH AVE S
BUFFALO, MN 553132321
Phone: (763) 682-4400
Fax: (763) 682-1353
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 56303)

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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: 4486555877View full group profile

Name	Specialty	State
STEPHANIE E BARNES (LICSW)	Clinical Social Worker	MN
MALLORIE HESSE (MS, LPCC, LADC)	Mental Health Counselor	MN
ALLISON KAY NETTER (MS LPCC)	Mental Health Counselor	MN
SHERI JO TESCH (MS LMFT)	Marriage And Family Therapist	MN
DR. STEVEN VINCENT LOOS (PSY.D, L.P.)	-	MN
JANIS ANNE ALLEN (LICSW)	Clinical Social Worker	MN
MR. RICHARD L GIOVANNETTI (MSW LICSW)	-	MN
NICOLE CHRISTINE OLSON (MA, LMFT)	Marriage And Family Therapist	MN
DAWN BENSON-HANCE	Mental Health Counselor	MN
MS. CASSANDRA L KIRBY (LPCC)	Mental Health Counselor	MN