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MCKENZIE BOMSTAD MSW, LICSW
NPI 1316503683
Social Worker - Clinical in Waite Park, MN

Active since May 13, 2019
411 3RD ST N, WAITE PARK, MN 56387(320) 253-4120 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, May 13, 2019 (2 updates tracked since 2019).

About Mckenzie Bomstad Msw, Licsw NPPES

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

MCKENZIE BOMSTAD MSW, LICSW (NPI 1316503683) is an individual clinical provider in Waite Park, Minnesota, licensed in Minnesota (30958) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1316503683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMCKENZIE BOMSTADCredential: MSW, LICSW
Location Address411 3RD ST NWaite Park, MN 56387-1177
Mailing Address12017 62nd St NeSpicer, MN 56288-9440 · (320) 266-5075
Phone(320) 253-4120
Sole ProprietorNo
Enumeration DateMay 13, 2019
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1316503683 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 · 30958
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.
411 3RD ST N, Waite Park, MN 56387
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Other Providers at the Same Location NPPES 6

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

ALLISON KAY NETTER MS LPCC
Counselor (Professional)
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 230-0611
MAKAELA ROSE MACKLEY MSW, LICSW
Social Worker
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 230-0611
TYLOR CUMMINGS MA, LMFT
Counselor (Professional)
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 230-0611
MR. KENT CHARLES DAVIS MD
Psychiatry & Neurology (Psychiatry)
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 253-4120
CARLEEN THEISEN
Social Worker (Clinical)
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 230-2013
LEXI LOUISE ALM JOHNSON M.S. LMFT
Marriage & Family Therapist
411 3RD ST N
WAITE PARK, MN 56387
Stearns County (320) 230-0672

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 Mckenzie Bomstad's NPI number?

The NPI number for Mckenzie Bomstad is 1316503683. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Mckenzie Bomstad located?

Mckenzie Bomstad practices at 411 3rd St N, Waite Park, MN 56387. The listed phone number is (320) 253-4120.

What is Mckenzie Bomstad'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 Mckenzie Bomstad was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.