MARIAH PUNDSACK (NPI# 1780165274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780165274 |
| Entity Type | Individual |
| Full Name | MARIAH PUNDSACK |
| Credential | LICSW |
| Practice Address |
823 Maple St Brainerd MN 56401-3770 |
| Mailing Address |
22605 440th St Freeport MN 56331-9620 |
| Practice Telephone | 2184543848 |
| Mailing Telephone | 3202956364 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
22157 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22605 440th St, Freeport, MN 563319620 | 3202966364 |
| Street Address |
823 MAPLE ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679682488 | Dina Rae Kowalski | Marriage & Family Therapist | 823 Maple St, Brainerd, MN 56401-3770 | 2006-08-29 |
| 1396359493 | Christy Lee Dano | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2020-09-04 |
| 1619591807 | Sarah Timpane | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2020-06-03 |
| 1538794524 | Shae Edgerton | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2020-03-10 |
| 1043857774 | Amanda Mary Kampa | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2019-12-02 |
| 1356804462 | Catherine Disterhaupt | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2019-04-08 |
| 1659840031 | Tyra Lee Taylor | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2018-11-15 |
| 1306324777 | Anne Marie Roach | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-07-29 |
| 1609363340 | Myrna Jean Deyoung | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-04-18 |
| 1992201511 | Katie Jene Garrey Swenson | Counselor | 823 Maple St, Brainerd, MN 56401 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215489299 | Salma Abdullahi Hussein | Social Worker | 1437 Marshall Ave Ste 102, Saint Paul, MN 55104-6345 | 2016-10-26 |
| 1124301114 | Sara Catherine Stenger | Social Worker | 2309 28th Ave S, Minneapolis, MN 55406-1331 | 2011-09-26 |
| 1265565642 | Laura Margaret Hansen | Social Worker | 516 Beltrami Ave Nw, Stellher Human Services, Inc, Bemidji, MN 56601 | 2007-03-14 |
| 1063065019 | Susan M Dolph | Social Worker | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-07-18 |
| 1861984387 | Beverly K Fletcher | Social Worker | 1000 E 80th St, Bloomington, MN 55420-1424 | 2018-05-31 |
| 1316482672 | Wendy Drift | Social Worker | 5219 Saint John Dr, Orr, MN 55771-8232 | 2016-12-22 |
| 1841698826 | Mary Kirk | Social Worker | 166 Main St, Winona, MN 55987-6442 | 2014-12-08 |
| 1255518148 | Leanne Beth Truedson | Social Worker | 444 N Ash, Hallock, MN 56728 | 2008-01-23 |
| 1205936341 | Bradley A Hanson | Social Worker | 4101 Harriet Ave, Minneapolis, MN 55409-1442 | 2006-09-25 |
Please comment or provide details below to improve the information on MARIAH PUNDSACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.