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

Individual provider Clinical Social Worker · NPI 1861045965

Madi Mixdorf, MSW is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 2019, 7 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

11660 Round Lake Blvd NW
Coon Rapids, MN 55433
Phone: (763) 767-3350
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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 (MN)

Record details

NPI number1861045965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coon Rapids