Individual provider · Type 1 NPI

Mariah Pundsack, LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1780165274 Active

Practice location

823 Maple St
Brainerd, MN 56401-3770

Call (218) 454-3848 Map

Mailing address

22605 440th St
Freeport, MN 56331-9620

Other practice locations

  • 22605 440th St, Freeport, MN 56331-9620 · (320) 296-6364

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22157 (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 1780165274

Mariah Pundsack, LICSW's National Provider Identifier is 1780165274, issued on Aug 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Oct 19, 2021.