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

Wyatt Thomas

Individual provider Clinical Social Worker · NPI 1194488080

Wyatt Thomas is a Clinical Social Worker in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

1700 Highway 36 W Ste 130
Roseville, MN 55113-4054
Phone: (952) 460-9003
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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 28233 (MN)

Record details

NPI number1194488080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address1700 Highway 36 W Ste 130, Roseville, MN 55113-4054

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