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

Julie Mae Wymore, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1962903203

Julie Mae Wymore, MSW, LICSW is a Clinical Social Worker in Annandale, Minnesota. Qualified in 2015, 11 years ago. Practices with Room to Grow Therapy and Consulting, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

40 Maple Ave N
Annandale, MN 55302-9301
Phone: (320) 281-6800
Fax: (320) 281-6878
Show map & directions

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

Additional practice locations (1)

  • 4133 Iowa St Ste 105, Alexandria, MN 56308-3311 — (320) 253-5930

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22712 (MN)

Record details

NPI number1962903203
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Room To Grow Therapy And Consulting — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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