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

Carly Rae Manderfeld, LGSW

Individual provider Counselor · NPI 1962286690

Carly Rae Manderfeld, LGSW is a Counselor in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone: (507) 217-0049
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 32524 (MN)

Record details

NPI number1962286690
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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