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CARLY RAE MANDERFELD LGSW
NPI 1962286690
Counselor in St Louis Park, MN

Active since August 23, 2023
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426(507) 217-0049 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Rae Manderfeld Lgsw NPPES

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

CARLY RAE MANDERFELD LGSW (NPI 1962286690) is an individual counselor in St Louis Park, Minnesota, licensed in Minnesota (32524) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1962286690
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCARLY RAE MANDERFELDCredential: LGSW
Location Address7601 WAYZATA BLVDSt Louis Park, MN 55426-1623
Mailing Address1241 E Main StMankato, MN 56001-5080 · (507) 217-0049
Phone(507) 217-0049
Sole ProprietorNo
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1962286690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MN · 32524
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
7601 WAYZATA BLVD, St Louis Park, MN 55426
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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.

DR. JENNIFER GOZY PSYD, LP
Psychologist (Clinical)
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
GABRIELLE MARIE GEARY LPCC
Counselor (Professional)
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
HEATHER CRAIG
Counselor
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
BARBARAJEAN HARTOS-HORD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
LOUISE CHARLOTTE ROLLINS
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
AMETHYST R HANDEVIDT
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (223) 612-8898
SUSAN WOLD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
DR. CHRISTINE CLARK PSY.D., L.P.
Psychologist
7601 WAYZATA BLVD
SAINT LOUIS PARK, MN 55426
Hennepin County (612) 223-8899

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 Carly Manderfeld's NPI number?

The NPI number for Carly Manderfeld is 1962286690. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Carly Manderfeld located?

Carly Manderfeld practices at 7601 Wayzata Blvd, St Louis Park, MN 55426. The listed phone number is (507) 217-0049.

What is Carly Manderfeld's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Carly Manderfeld was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.