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

Reza Mathew Mikhaeil, LGSW

Individual provider Clinical Social Worker · NPI 1407645195

Reza Mathew Mikhaeil, LGSW is a Clinical Social Worker in Baxter, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Phone: (218) 829-9307
Fax: (218) 829-7649
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34397 (MN)

Record details

NPI number1407645195
Entity typeIndividual (Type 1)
GenderMale
Credentials LGSW
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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