Joni Lea Medenwald, MSW, LSW
Social Worker, Clinical in Moorhead, MN. Individual provider (NPI-1).
NPI number1003063751
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1003063751
- Entity type
- Individual (NPI-1)
- Name
- Joni Lea Medenwald
- Credential
- MSW, LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2008
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21692 | MN | Yes |
| 104100000X | Social Worker | 3977 | ND |
Practice location
815 37th Ave SMoorhead, MN 56560-5524
Phone 701-451-4811 · Fax 651-925-0057
Mailing address
1201 25th St SFargo, ND 58103-2311
Phone 701-451-4900 · Fax 651-925-0057
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All 66 Clinical Social Worker providers in Moorhead · All 1,308 providers in Moorhead
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