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

Eliza Woodward Hartley

Individual provider Mental Health Counselor · NPI 1215671557

Eliza Woodward Hartley is a Clinical Social Worker in Mendota Heights, Minnesota. Qualified in 2020, 6 years ago. Practices with Grander Peace Counseling LLC, a 7-clinician group.

Years since qualifying
6
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1155 Northland Dr
Mendota Heights, MN 55120-1288
Phone: (612) 223-8898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215671557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grander Peace Counseling Llc — 7 clinicians
Accepts Medicare assignment Not indicated

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