Organization · Type 2 NPI

Mandy Wannarka, Licsw Inc

Clinical Social Worker · Coon Rapids, MN

NPI number 1861038515 Active

Practice location

199 Coon Rapids Blvd NW Ste 208
Coon Rapids, MN 55433-5860

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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…

10 other providers at this address

Other clinical social worker providers in Coon Rapids

See all in Coon Rapids →

NPI record

NPI: 1861038515
Entity type: Organization (Type 2)
Issued: Nov 18, 2019
Last updated: Jun 14, 2023
Status: Active

Other names

<unavail>
Mindful Wellbeing · doing business as
Mindful Wellbeing · doing business as

Authorized official

Amanda Wannarka, LICSW, PMH-C
Owner, Psychotherapist
(612) 309-2691

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1861038515

Mandy Wannarka, Licsw Inc's National Provider Identifier is 1861038515, issued on Nov 18, 2019. 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 Jun 14, 2023.