Individual provider Active NPI

Michelle Olivia Olund-Youngberg, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1023684677
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26890 Issued in MN
Practice address
1600 Warren St Ste 6
Mankato, MN 56001-7113
Phone
(507) 389-1443
Fax
(855) 360-3593
NPI assigned
Jun 2, 2021
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26890 MN Primary

Addresses

Primary practice location

1600 Warren St Ste 6
Mankato, MN 56001-7113

Mailing address

1600 Warren St Ste 6
Mankato, MN 56001-7113
Phone (507) 389-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211223001476 MN Practitioner - Clinical Social Worker 4284025404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Counseling Services of Southern Minnesota, IncGroup PAC ID 5890696868, 9 clinicians

Practice addresses (Care Compare)

1306 Marshall St
Saint Peter, MN 56082-4500
Phone (507) 931-8040

1600 Warren St
Suite 6
Mankato, MN 56001-7113
Phone (507) 389-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota State Colleges and Universities Clinical CurrentSince Aug 8, 2025 Accepting new patients
Minnesota State Colleges & Universities Current Accepting new patients
Counseling Services of Southern Minnesota, Inc Clinical CurrentSince Nov 9, 2021 Accepting new patients

Locations

150 South Rd
Mankato, MN 56001
Phone (507) 389-2147

1600 Warren St
Ste 6
Mankato, MN 56001
Phone (507) 389-1443

1104 7th Ave S
Moorhead, MN 56563
Phone (218) 477-2330

1306 Marshall St
Saint Peter, MN 56082
Phone (507) 931-8040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1023684677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WARREN ST STE 6",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017113",
            "telephone_number": "507-389-1443",
            "fax_number": "855-360-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WARREN ST STE 6",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017113",
            "telephone_number": "507-389-1443",
            "fax_number": "855-360-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUND-YOUNGBERG",
        "first_name": "MICHELLE",
        "middle_name": "OLIVIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.