Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICHARD ALAN WANDERSEE MSW LICSW
NPI 1083689624
Social Worker - Clinical in Coon Rapids, MN

Active since February 17, 2006
11475 ROBINSON DR NW, MAIL STOP 32600A, COON RAPIDS, MN 55433(763) 754-4600(763) 754-4614 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Alan Wandersee Msw Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD ALAN WANDERSEE MSW LICSW (NPI 1083689624) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (01593) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1083689624
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICHARD ALAN WANDERSEECredential: MSW LICSW
Location Address11475 ROBINSON DR NW, MAIL STOP 32600ACoon Rapids, MN 55433-3746
Mailing Address8100 34th Ave S, 21110qBloomington, MN 55425-1672 · (952) 883-5790 · Fax (952) 883-5395
Fax(763) 754-4614
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083689624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 01593
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11475 ROBINSON DR NW, Coon Rapids, MN 55433

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Family Medicine
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Nurse Practitioner
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Obstetrics & Gynecology
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Obstetrics & Gynecology
11475 ROBINSON DR NW, MS 32600A
COON RAPIDS, MN 55433
Dentist (General Practice)
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Nurse Practitioner
11475 ROBINSON DR NW, MAIL STOP 32600A
COON RAPIDS, MN 55433
Physician Assistant
11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Wandersee's NPI number?

The NPI number for Richard Wandersee is 1083689624. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Richard Wandersee located?

Richard Wandersee practices at 11475 Robinson Dr NW Mail Stop 32600A, Coon Rapids, MN 55433. The listed phone number is (763) 754-4600.

What is Richard Wandersee's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Richard Wandersee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.