JAMES MICHAEL WALCH (LICSW) – Clinical Social Worker, NPI 1649358797

JAMES MICHAEL WALCH (LICSW) is a healthcare provider. based in Mahtomedi, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 16515 (MN). The NPI Number for JAMES MICHAEL WALCH (LICSW) is 1649358797

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JAMES MICHAEL WALCH (LICSW)
NPI
1649358797
Phone
Not provided
Address
1355 WARNER AVE N
Enumeration Date
2 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122344242
Graduation Year
2003 (23 years ago)
PAC ID
5193164721
Group Practice PAC ID
3476999327
Professional Enrollment ID
I20240416002186
Address ID
MN554111606MI2912XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for JAMES MICHAEL WALCH (LICSW)

  • Warner Avenue North, Mahtomedi, Washington County, Minnesota, 55115, United States

    MAHTOMEDI, MN 551151953

    Phone:

    Type: Mailing

  • 1165, Arcade Street, Saint Paul, Ramsey County, Minnesota, 55106, United States

    SAINT PAUL, MN 551062615

    Phone: (651) 772-5598

    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.

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: 2024-04-16

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
I20240416002186IClinical 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 55115)

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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: 3476999327View full group profile
NameSpecialtyState
Clinical Social WorkerMN

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Frequently asked questions

Can I verify JAMES MICHAEL WALCH (LICSW) with an NPI only?
You can start verification with NPI 1649358797 for JAMES MICHAEL WALCH (LICSW), then check state licensing separately.
Can I rely on JAMES MICHAEL WALCH (LICSW) being an active provider?
As of the registry snapshot, JAMES MICHAEL WALCH (LICSW) is marked active.
What is JAMES MICHAEL WALCH (LICSW)'s specialty?
The listing groups JAMES MICHAEL WALCH (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for JAMES MICHAEL WALCH (LICSW)?
JAMES MICHAEL WALCH (LICSW)'s geographic hint is Mahtomedi, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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