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

Individual provider Clinical Social Worker · NPI 1316503683

McKenzie Bomstad, MSW, LICSW is a Clinical Social Worker in Waite Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
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.

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Practice location Address checks out

411 3rd St N
Waite Park, MN 56387-1177
Phone: (320) 253-4120
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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 · Licence 30958 (MN)

Record details

NPI number1316503683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

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