IndividualActive
Carly Manderfeld, LGSW
NPI 1962286690 · Counselor · St Louis Park, MN
Provider details
- NPI number
- 1962286690
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LGSW
- Sex
- Female
- Sole proprietor
- No
- License
- 32524 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone: (507) 217-0049
Approximate (ZIP-level) locationGet directions
Mailing address
1241 E Main St
Mankato, MN 56001-5080
Registry dates
- Enumerated
- 2023-08-23
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.