Joni Lea Medenwald
Social Worker Clinical Social Worker
815 37th Ave S
Moorhead
, Minnesota 56560-5524
Joni Lea Medenwald
Social Worker Clinical Social Worker
815 37th Ave S
Moorhead
, Minnesota 56560-5524
(651) 925-0057
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Joni Lea Medenwald
- 1201 25th St S
- Fargo, ND
- Zip : 58103-2311
- Fax : (651) 925-0057
- Phone : (701) 451-4900
Second Address
- Joni Lea Medenwald
- 815 37th Ave S
- Moorhead, MN
- Zip : 56560-5524
- Fax : (651) 925-0057
- Phone : (701) 451-4811
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 104100000X | Social Worker | 3977 | ND |
| Y | 1041C0700X | Clinical Social Worker | 21692 | MN |
National Provider Identifier
| NPI | 1003063751 |
|---|---|
| Provider Name | Joni Lea Medenwald |
| First Address | Fargo, ND 58103-2311 |
| Second Address | Moorhead, MN 56560-5524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2008 |
| Last Update Date | 25/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.