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MOSAICSELF COUNSELING
NPI 1841875648
Social Worker - Clinical in Ely, MN

Active since March 12, 2021
10 N 1ST AVE E STE 202, ELY, MN 55731(218) 216-8467 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mosaicself Counseling NPPES

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

MOSAICSELF COUNSELING (NPI 1841875648) is a healthcare organization registered as a clinical in Ely, Minnesota and active in the NPI registry since March 2021. The organization lists Corie Mckibben, Owner, as its authorized official.

NPPES Registry Identity

NPI1841875648
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOSAICSELF COUNSELING
Location Address10 N 1ST AVE E STE 202Ely, MN 55731-1473
Mailing Address1109 Ringrock RdEly, MN 55731-8235 · (218) 966-8330
Phone(218) 216-8467
Organization SubpartNo
Authorized OfficialCorie MckibbenOwner · (218) 966-8330
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1841875648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
10 N 1ST AVE E STE 202, Ely, MN 55731
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Other Names 1

Other NameCorie Mckibben

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CORIE STEWART MCKIBBEN MSW, LICSW
Social Worker (Clinical)
10 N 1ST AVE E STE 202
ELY, MN 55731
St. Louis County (218) 216-8467

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 Mosaicself Counseling's NPI number?

The NPI number for Mosaicself Counseling is 1841875648. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is also known as Corie McKibben.

Where is Mosaicself Counseling located?

Mosaicself Counseling is located at 10 N 1st Ave E Ste 202, Ely, MN 55731. The listed phone number is (218) 216-8467.

What is Mosaicself Counseling'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 Mosaicself Counseling was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.