JOAN GUDORF LICSW
NPI 1508664269
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edina, MN

Active since March 06, 2025
4530 77TH ST W STE 325, EDINA, MN 55435(612) 554-5095 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Joan Gudorf Licsw NPPES

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

JOAN GUDORF LICSW (NPI 1508664269) is a healthcare organization registered as a mental health (including community mental health center) in Edina, Minnesota and active in the NPI registry since March 2025. The organization lists Joan Gudorf, Owner/licensed Social Worker, as its authorized official.

NPPES Registry Identity

NPI1508664269
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJOAN GUDORF LICSW
Location Address4530 77TH ST W STE 325Edina, MN 55435-5012
Mailing Address4808 Wilford WayEdina, MN 55435-1563 · (612) 554-5095
Organization SubpartNo
Authorized OfficialJoan GudorfOwner/licensed Social Worker · (612) 555-5095
Enumeration DateMarch 6, 2025
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1508664269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4530 77TH ST W STE 325, Edina, MN 55435

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
4530 77TH ST W STE 325
EDINA, MN 55435

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 Joan Gudorf Licsw's NPI number?

The NPI number for Joan Gudorf Licsw is 1508664269. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Joan Gudorf Licsw located?

Joan Gudorf Licsw is located at 4530 77th St W Ste 325, Edina, MN 55435. The listed phone number is (612) 554-5095.

What is Joan Gudorf Licsw's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Joan Gudorf Licsw accept?

Health plans from HealthPartners list Joan Gudorf Licsw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joan Gudorf Licsw was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.