IndividualActive
Brandon Pellaton, LICSW
NPI 1689080707 · Clinical Social Worker · Willmar, MN
Provider details
- NPI number
- 1689080707
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 21177 (MN)
Practice location
513 5th St Sw
Willmar, MN 56201-3216
Phone: (320) 214-9692
Fax: (320) 214-9924
Mailing address
Po Box 1810
Willmar, MN 56201-1810
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2014-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.