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IndividualActive

D'Undra Willis

LICSW

Social Worker - Clinical

NPI: 1043747926Fridley, Minnesota, 55432(612) 412-4819Female

About D'Undra Willis

D'Undra Willis, LICSW, is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1043747926. Their primary practice is located at 1250 MOORE LAKE DR E STE 205D, Fridley, Minnesota 55432.

Patients can reach the office at (612) 412-4819. D'Undra Willis has been NPI-registered since 2017.

Doctor Details

Identity & Credentials

NPI Number
1043747926
Entity Type
Individual
First Name
D'Undra
Last Name
Willis
Credential
LICSW
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
1250 MOORE LAKE DR E STE 205D
City
Fridley
State
Minnesota
ZIP
55432-5176
Country
United States
Phone
(612) 412-4819
Fax
(651) 304-6027

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1250 MOORE LAKE DR E STE 205D
City
FRIDLEY
State
MN
ZIP
554325176

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is D'Undra Willis's NPI number?
D'Undra Willis's National Provider Identifier (NPI) is 1043747926. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does D'Undra Willis specialize in?
D'Undra Willis specializes in Social Worker - Clinical.
Where is D'Undra Willis located?
D'Undra Willis practices at 1250 MOORE LAKE DR E STE 205D, Fridley, Minnesota 55432. You can reach them by phone at (612) 412-4819.
Does D'Undra Willis accept Medicare?
Based on available data, D'Undra Willis is not currently enrolled in the Medicare program.
Does D'Undra Willis offer telehealth or virtual visits?
D'Undra Willis does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for D'Undra Willis is 1043747926.