NPIMap

Organization Active NPI

Mental Health Collaborative of Mankato

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1467234377
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH COLLABORATIVE OF MANKATO
Practice address
3 Civic Center PLZ
Mankato, MN 56001-7784
Phone
(507) 901-1033
Fax
(507) 901-1034
NPI assigned
Oct 16, 2023
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
George W Clements, MSW, LICSWNPI 1194870881
Title
Owner
Phone
(507) 779-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

3 Civic Center PLZ
Mankato, MN 56001-7784

Mailing address

3 Civic Center PLZ
Mankato, MN 56001-7784
Phone (507) 901-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223000203 MN Part B Supplier - Clinic/Group Practice 4688018138 Receives reassigned benefits from 6 practitioners
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

1101 N Riverfront Dr
Mankato, MN 56001
Phone (507) 837-0429

3 Civic Center Plz
Mankato, MN 56001
Phone (507) 901-1033

3 Civic Center Plz
Ste 300
Mankato, MN 56001
Phone (507) 901-1033

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1467234377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CIVIC CENTER PLZ",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017784",
            "telephone_number": "507-901-1033",
            "fax_number": "507-901-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CIVIC CENTER PLZ",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017784",
            "telephone_number": "507-901-1033",
            "fax_number": "507-901-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COLLABORATIVE OF MANKATO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-779-9872",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.