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

Headwaters Mental Health, Ltd

Organization Clinical Social Worker · NPI 1699526210

Headwaters Mental Health, Ltd provides Clinical Social Worker services in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1614 Harmon Pl Ste 301
Minneapolis, MN 55403-1965
Phone: (612) 470-7055
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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

Record details

NPI number1699526210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jillian Chmiel — Owner · (612) 759-8934
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 31, 2024
Mailing addressPo Box 8147, Saint Paul, MN 55108-0147

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