Tomas John Wildenborg, LICSW
Clinical Social Worker · Minneapolis, MN
Tomas John Wildenborg, LICSW is a clinical social worker with a practice address in Minneapolis, Minnesota, and NPI 1023395282, issued on Nov 15, 2011. Check the license (Minnesota 25741, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tomas John Wildenborg
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 25741 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2400 W 64TH St, Minneapolis, MN 55423
- Phone
- (612) 861-1688
- Enumerated
- Nov 15, 2011
- Record last updated
- Apr 15, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210629001290); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Also registered at 2400 W 64TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nisreen AbuhadidClinical Social Worker1538980370
- Kandeija BagurusiPhysical Therapist1689550493
- Ann CrosbyCase Manager/Care Coordinator1700358090
- Jennifer Gruenzner, MA OTR/LOccupational Therapist1649562216
- Chartel Hawkins, LPCC MAProfessional Counselor1235795923
- Alfred Jaryan, MA, LMFTMarriage & Family Therapist1679155477
Verify Tomas John Wildenborg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 25741Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Fraser Child And Family CenterRichfield, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tomas John Wildenborg among 6,609 clinical social worker records in Minnesota
Tomas John Wildenborg, LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 27% of them.
- NPI issued2011 · 27% of these records are older, 70% newer
- In a Medicare fileYes · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2013 · median 2014 among the 2,023 with a school on file
- Record last updated2021 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,464 clinical social worker records list a practice address in Minneapolis
They are 1,464 of the 22,918 NPPES records with a practice address in Minneapolis, and 6,609 clinical social worker records in Minnesota.
All 6,609 in Minnesota → Every provider in Minneapolis → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Josh Cook, LICSWRichfield, MN 554231831219765
- Sherri Cote, LICSWRichfield, MN 554231992761290
- Teri Dimond, LICSWRichfield, MN 554231225010788
- Britt Engrav, DSW, MSW, LICSWMinneapolis, MN 554231154450971
- Clark Erickson, LICSWRichfield, MN 554231316035231
- Luann Hanson, MSW LICSWRichfield, MN 554231942372172
- Monica Hedrick, LCSW, BCBARichfield, MN 554231497086581
- Carol Labine, LICSWRichfield, MN 554231285752675
Common questions
What is Tomas John Wildenborg, LICSW's NPI number?
Tomas John Wildenborg, LICSW's National Provider Identifier (NPI) is 1023395282, issued on Nov 15, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Tomas John Wildenborg, LICSW located?
The NPPES record lists a practice address at 2400 W 64TH St, Minneapolis, MN, 55423. Phone: (612) 861-1688. Providers update this record themselves, so call before visiting.
How can I verify Tomas John Wildenborg, LICSW's license?
NPPES lists Minnesota license number 25741, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.