Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
D'UNDRA WILLIS, LICSW
Active Sole ProprietorD'UNDRA WILLIS, LICSW is a Clinical Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1043747926 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FRIDLEY, MN
Registration Details
- NPI Number
- 1043747926
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2017 (9.2042417479685 yrs)
- Last Updated
- Nov 22, 2024
- License
-
23648 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1250 MOORE LAKE DR E STE 205DFRIDLEY, MN, 554325176Browse MN providers · Browse ZIP 55432
- Phone
- 6124124819
- Fax
- 6513046027
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| DEANNE MILLER | LICSW | 1679516611 |
| MRS. CHRISTINE C. KVIDERA | MSW, LICSW | 1568489649 |
| MRS. KRISTEN MARIE FRITSINGER | MSW, LICSW | 1407864812 |
| PAUL CARLETON RYALS | LICSW | 1336152644 |
| MS. SUSAN JANE VENZKE | SOCIAL WORKER | 1598874703 |
| JAMES MULLER POWELL | L.I.C.S.W. | 1174634992 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.