CYNTHIA MARIE WILTGEN (LICSW) – Social Worker, NPI 1841558178

CYNTHIA MARIE WILTGEN (LICSW) is a healthcare provider. based in St. louis park, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 15638 (MN). The NPI Number for CYNTHIA MARIE WILTGEN (LICSW) is 1841558178

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA MARIE WILTGEN (LICSW)
NPI
1841558178
Phone
(952) 993-6200
Address
3525 MONTEREY DR
Enumeration Date
24 April 2012
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529931990
Graduation Year
2008 (18 years ago)
PAC ID
7315175833
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20140108000999
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for CYNTHIA MARIE WILTGEN (LICSW)

  • 3525 MONTEREY DR

    ST. LOUIS PARK, MN 55416

    Phone: (952) 993-6200

    Type: Mailing

  • 10877 KINGSVIEW LN N

    MAPLE GROVE, MN 553697543

    Phone: (612) 801-2820

    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: 2014-01-08

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
I20140108000999IClinical 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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to CYNTHIA MARIE WILTGEN (LICSW)?
The federal identifier for CYNTHIA MARIE WILTGEN (LICSW) is NPI 1841558178.
Is CYNTHIA MARIE WILTGEN (LICSW)'s NPI currently valid?
The extract we use shows CYNTHIA MARIE WILTGEN (LICSW) as active.
What kind of provider is CYNTHIA MARIE WILTGEN (LICSW)?
The page reflects Social Worker for CYNTHIA MARIE WILTGEN (LICSW). Clinical services aligned with this taxonomy classification.
Where is CYNTHIA MARIE WILTGEN (LICSW)'s primary listing?
We display St. Louis Park, Minnesota because that is what the record indicates for CYNTHIA MARIE WILTGEN (LICSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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