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

Individual provider Clinical Social Worker · NPI 1841732211

Amanda Wannarka, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 2014, 12 years ago. Practices with Mandy Wannarka LICSW Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2016
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

199 Coon Rapids Blvd NW Ste 208
Coon Rapids, MN 55433-5860
Phone: (612) 440-1899
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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 · Licence 23382 (MN)

Record details

NPI number1841732211
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mandy Wannarka Licsw Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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