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

Mariah Pundsack, LICSW

Individual provider Clinical Social Worker · NPI 1780165274

Mariah Pundsack, LICSW is a Clinical Social Worker in Brainerd, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
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

823 Maple St
Brainerd, MN 56401-3770
Phone: (218) 454-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22605 440th St, Freeport, MN 56331-9620 — (320) 296-6364

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22157 (MN)

Record details

NPI number1780165274
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 23, 2018
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address22605 440th St, Freeport, MN 56331-9620

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