Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edify Youth

Organization Clinical Social Worker · NPI 1477895985

Edify Youth provides Clinical Social Worker services in Crystal, Minnesota. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

5108 Lakeside Ave N
Crystal, MN 55429-3734 Not confirmed with CMS for 13 years — call before visiting
Phone: (612) 306-4575
Fax: (763) 271-2707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1477895985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Bauer — Administrator · (763) 567-3136
NPI enumeratedMarch 22, 2013
Last updated in NPPESMarch 22, 2013
Mailing address5108 Lakeside Ave N, Crystal, MN 55429-3734

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