IndividualActive
Evan Wallenfelsz, LICSW
NPI 1912578188 · Social Worker · Maplewood, MN
Evan Wallenfelsz, LICSW is a Social Worker provider in Maplewood, MN (NPI 1912578188).
Provider details
- NPI number
- 1912578188
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 25117 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2495 Maplewood Dr N Ste 312
Maplewood, MN 55109-1985
Phone: (651) 760-3109
Fax: (651) 760-3109
Street-level locationGet directions
Mailing address
2495 Maplewood Dr N Ste 312
Maplewood, MN 55109-1985
Registry dates
- Enumerated
- 2021-07-08
- Last updated
- 2021-07-08
- Certified
- 2021-07-08
Frequently asked questions
- What is Evan Wallenfelsz's NPI number?
- Evan Wallenfelsz's National Provider Identifier (NPI) is 1912578188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Wallenfelsz's specialty?
- Evan Wallenfelsz is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Evan Wallenfelsz located?
- Evan Wallenfelsz's practice location on file with NPPES is 2495 Maplewood Dr N Ste 312, Maplewood, MN 55109-1985.
- What is Evan Wallenfelsz's phone number?
- The practice phone number listed in the NPPES registry for Evan Wallenfelsz is (651) 760-3109.
- Is Evan Wallenfelsz's NPI active?
- Yes — Evan Wallenfelsz's NPI (1912578188) is active in the NPPES registry as of the last update on 2021-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.