Individual provider · Type 1 NPI

Sarah Bundy, LICSW

Clinical Social Worker · Lakeville, MN

NPI number 1720879794 Active

Practice location

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Fax (952) 214-8960

Mailing address

807 E 1st St Apt 2
Duluth, MN 55805-2252

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27986 (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 1720879794

Sarah Bundy, LICSW's National Provider Identifier is 1720879794, issued on May 16, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakeville, MN. The record was last updated on Jun 24, 2025.