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

Joan Gudorf LICSW

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1508664269

Joan Gudorf LICSW is a Mental Health Clinic/Center (Including Community Mental Health Center) in Edina, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4530 77th St W Ste 325
Edina, MN 55435-5012
Phone: (612) 554-5095
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1508664269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Gudorf — Owner/Licensed Social Worker · (612) 555-5095
NPI enumeratedMarch 6, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address4808 Wilford Way, Edina, MN 55435-1563

Other providers in Edina