Mandy Wannarka, Licsw Inc
NPI 1861038515ActiveOrganization· Social Worker, Clinical· Coon Rapids, MN
Social Worker, Clinical in Coon Rapids, Minnesota, registered in NPPES in November 2019. The authorized official on file is Amanda Wannarka, LICSW, PMH-C, Owner, Psychotherapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861038515 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2019 |
| Last updated in NPPES | Jun 14, 2023 |
| Certified by provider | Jun 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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