Mandy Wannarka, Licsw Inc
NPI 1861038515 · Clinical Social Worker · Coon Rapids, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mandy Wannarka, Licsw Inc is a Clinical Social Worker organization in Coon Rapids, MN (NPI 1861038515).
Provider details
- NPI number
- 1861038515
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Wannarka, Owner, Psychotherapist(612) 309-2691
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mindful Wellbeing
- Doing business as
- Mindful Wellbeing
Registry dates
- Enumerated
- 2019-11-18
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is Mandy Wannarka, Licsw Inc's NPI number?
- Mandy Wannarka, Licsw Inc's National Provider Identifier (NPI) is 1861038515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mandy Wannarka, Licsw Inc?
- Mandy Wannarka, Licsw Inc is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mandy Wannarka, Licsw Inc located?
- Mandy Wannarka, Licsw Inc's practice location on file with NPPES is 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433-5860.
- What is Mandy Wannarka, Licsw Inc's phone number?
- The practice phone number listed in the NPPES registry for Mandy Wannarka, Licsw Inc is (612) 440-1899.
- Does Mandy Wannarka, Licsw Inc accept Medicare?
- Mandy Wannarka, Licsw Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mandy Wannarka, Licsw Inc?
- The authorized official listed on Mandy Wannarka, Licsw Inc's NPPES record is Amanda Wannarka, Owner, Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mandy Wannarka, Licsw Inc's NPI active?
- Yes — Mandy Wannarka, Licsw Inc's NPI (1861038515) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.