Wyatt Coleman
Individual provider Active NPI Clinical Social Worker · Afton, MN
NPI 1164095568 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1164095568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 27832 (MN)
- Practice address
- 15489 45TH St S
Afton, MN 55001-9681 - Phone
- (651) 315-5254
- Fax
- (651) 300-2745
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27832 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Acres Counseling, LLC | Current |
Accepting new patients | |
| Washburn Center for Children | Past |
Accepting new patients | |
| Center for Child Abuse Prevention and Treatment | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27832 | MN | Yes |
Addresses
Primary practice location
15489 45TH St S
Afton, MN 55001-9681
Mailing address
15489 45TH St S
Afton, MN 55001-9681
Phone (651) 315-5254
Other names
- Katie Marie Fleckenstein
Other providers in Afton, MN
- Afton Home Care Inc
- Alta Consultation Services Inc
- American Spirit, LLC
- Becky Best-Thoresen
- Dr Feehan Limited
- Dr Feehan LTD
- Vickie Lynn Marie Drigans
- Lora Jaecks
- Kelly Kennedy-Johnson
All providers in Afton, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.