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

Richard Alan Wandersee, MSWLICSW

Individual provider Clinical Social Worker · NPI 1083689624

Richard Alan Wandersee, MSWLICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

11475 Robinson Dr NW Mail Stop 32600A
Coon Rapids, MN 55433-3746
Phone: (763) 754-4600
Fax: (763) 754-4614
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 01593 (MN)

Record details

NPI number1083689624
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLICSW
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 13, 2026

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