OrganizationActive
Mosaicself Counseling
NPI 1841875648 · Clinical Social Worker · Ely, MN
Provider details
- NPI number
- 1841875648
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Corie Mckibben, Owner(218) 966-8330
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 N 1st Ave E Ste 202
Ely, MN 55731-1473
Phone: (218) 216-8467
Street-level locationGet directions
Mailing address
1109 Ringrock Rd
Ely, MN 55731-8235
Other names (DBA / former)
- Other name
- Corie Mckibben
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.