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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MCKENZIE BOMSTAD, MSW, LICSW

Active

MCKENZIE BOMSTAD, MSW, LICSW is a Clinical Social Worker healthcare provider located in WAITE PARK, Minnesota. NPI 1316503683 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WAITE PARK, MN

Registration Details

NPI Number
1316503683
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2019 (7.2389980253322 yrs)
Last Updated
Dec 6, 2024
License
30958 (MN)

Practice Information

Address
411 3RD ST N
WAITE PARK, MN, 563871177
Browse MN providers · Browse ZIP 56387
Phone
3202534120
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WAITE PARK, MN

Name Credential NPI
JEAN M BJERKE MA, LICSW 1710931928
MS. DAWN MARIE KUHL MSW 1417157553
JODI LEIGH PAULSEN LICSW 1952756173
BRITTNEY HULTGREN 1619594264
CARLEEN THEISEN 1881461143
AMANDA JOY SCHULTZ LICSW 1881453165
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.