Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Headwaters Mental Health, Ltd

Organization Clinical Social Worker · NPI 1699526210

Headwaters Mental Health, Ltd is a Clinical Social Worker in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1614 Harmon Pl Ste 301
Minneapolis, MN 55403-1965
Phone: (612) 470-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1699526210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jillian Chmiel — Owner · (612) 759-8934
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 31, 2024
Mailing addressPo Box 8147, Saint Paul, MN 55108-0147

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