Individual provider · Type 1 NPI

Wyatt Coleman

Clinical Social Worker · Afton, MN

NPI number 1164095568 Active

Practice location

15489 45th St S
Afton, MN 55001-9681

Fax (651) 300-2745

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27832 (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 1164095568

Wyatt Coleman's National Provider Identifier is 1164095568, issued on Jul 22, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Afton, MN. The record was last updated on Sep 15, 2025.