IndividualActive
Abigail Wacholz, LICSW
NPI 1972186658 · Clinical Social Worker · Albert Lea, MN
Provider details
- NPI number
- 1972186658
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 27499 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Phone: (507) 461-5418
Approximate (ZIP-level) locationGet directions
Mailing address
404 W Fountain St
Albert Lea, MN 56007-2437
Additional practice locations (1)
- 200 1st St SwRochester, MN 55905-2437Phone: (507) 284-2511
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.