Individual provider · Type 1 NPI

Joni Lea Medenwald, MSW, LSW

Clinical Social Worker · Moorhead, MN

NPI number 1003063751 Active

Practice location

815 37th Ave S
Moorhead, MN 56560-5524

Call (701) 451-4811 Map

Fax (651) 925-0057

Mailing address

1201 25th St S
Fargo, ND 58103-2311

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X3977 (ND)
Clinical Social Worker Primary 1041C0700X21692 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003063751

Joni Lea Medenwald, MSW, LSW's National Provider Identifier is 1003063751, issued on Aug 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Feb 25, 2020.