Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail M Wacholz, LICSW

Individual provider Clinical Social Worker · NPI 1972186658

Abigail M Wacholz, LICSW is a Clinical Social Worker in Albert Lea, Minnesota. Qualified in 2018, 8 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

404 W Fountain St
Albert Lea, MN 56007-2437
Phone: (507) 461-5418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-2437 — (507) 284-2511

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27499 (MN)

Record details

NPI number1972186658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Albert Lea