Individual provider · Type 1 NPI

McKenzie Bomstad, MSW, LICSW

Clinical Social Worker · Waite Park, MN

NPI number 1316503683 Active

Practice location

411 3rd St N
Waite Park, MN 56387-1177

Call (320) 253-4120 Map

Mailing address

12017 62nd St NE
Spicer, MN 56288-9440

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30958 (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 1316503683

McKenzie Bomstad, MSW, LICSW's National Provider Identifier is 1316503683, issued on May 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waite Park, MN. The record was last updated on Dec 6, 2024.