IndividualActive
Amanda Smith, LICSW
NPI 1700417649 · Clinical Social Worker · Red Wing, MN
Provider details
- NPI number
- 1700417649
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 19651 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 860912
Minneapolis, MN 55486-0912
Additional practice locations (1)
- 200 1st St SwRochester, MN 55905-0001Phone: (507) 284-2511
Registry dates
- Enumerated
- 2020-01-29
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.