Individual provider · Type 1 NPI

Richard Alan Wandersee, MSW LICSW

Clinical Social Worker · Coon Rapids, MN

NPI number 1083689624 Active

Practice location

11475 Robinson Dr NW, Mail Stop 32600A
Coon Rapids, MN 55433-3746

Call (763) 754-4600 Map

Fax (763) 754-4614

Mailing address

8100 34th Ave S, 21110Q
Bloomington, MN 55425-1672

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X01593 (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 1083689624

Richard Alan Wandersee, MSW LICSW's National Provider Identifier is 1083689624, issued on Feb 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 13, 2026.