MEDICARE: MAETCHE WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1427908078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAETCHE WELLNESS

Provider Business Mailing Address
First Line	:	7114 PARQUET AVE NE
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-4417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7114 PARQUET AVE NE
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-4417
Country	:	US
Telephone Number	:	763-607-6871
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	ALYSSA MAETCHE
Credential	:	LICSW
Telephone Number	:	651-315-7080

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/09/2026

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Directions to “MAETCHE WELLNESS ” Practice Location

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