GORDON W HOELSCHER (MSSA LICSW) – Clinical Social Worker, NPI 1700987955

GORDON W HOELSCHER (MSSA LICSW) is a healthcare provider. based in Virginia, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSSA LICSW. They hold a License No. 1788 (MN). The NPI Number for GORDON W HOELSCHER (MSSA LICSW) is 1700987955

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
GORDON W HOELSCHER (MSSA LICSW)
NPI
1700987955
Phone
(218) 749-2881
Address
624 S 13TH ST
Enumeration Date
26 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187407619
Graduation Year
1967 (59 years ago)
PAC ID
6800707357
Group Practice PAC ID
2062637663
Professional Enrollment ID
I20041110000526
Address ID
MN558112915DU2900XAVEX300
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 GORDON W HOELSCHER (MSSA LICSW)

  • 624, 13th Street, Lake View, Virginia Beach, Virginia, 23451, United States

    RANGE MENTAL HEALTH CENTER INC

    VIRGINIA, MN 55792

    Phone: (218) 749-2881

    Fax: (218) 749-3806

    Mailing address matches the actual address.

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: 2004-11-10

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
I20041110000526IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation2018$0
View full utilization report →

Insurance plans in this area (ZIP 55792)

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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: 2062637663View full group profile
NameSpecialtyState
Mental Health CounselorMN

Reviews

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Frequently asked questions

What federal number belongs to GORDON W HOELSCHER (MSSA LICSW)?
The federal identifier for GORDON W HOELSCHER (MSSA LICSW) is NPI 1700987955.
Is GORDON W HOELSCHER (MSSA LICSW)'s NPI currently valid?
The extract we use shows GORDON W HOELSCHER (MSSA LICSW) as active.
What kind of provider is GORDON W HOELSCHER (MSSA LICSW)?
The page reflects Clinical Social Worker for GORDON W HOELSCHER (MSSA LICSW). Clinical services aligned with this taxonomy classification.
Where does public data place GORDON W HOELSCHER (MSSA LICSW)?
The snapshot lists Virginia, Minnesota for GORDON W HOELSCHER (MSSA LICSW); download NPPES for the complete set.
What if Virginia, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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