Grace Minded Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACE MINDED THERAPY PLLC

Practice address

17 Cedar St W
Motley, MN 56466-2493

Phone

(320) 431-6462

Fax

(855) 595-1058

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Marie Plumski, LICSWNPI 1184076473

Title

Owner/Therapist

Phone

(320) 431-6462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Plumski, LICSW

  • Clinical Social Worker
  • Motley, MN
  • NPI 1184076473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1629940846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST W",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564662493",
            "telephone_number": "320-431-6462",
            "fax_number": "855-595-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST W",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564662493",
            "telephone_number": "320-431-6462",
            "fax_number": "855-595-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 53rd Avenue South",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58104",
            "country_code": "US",
            "telephone_number": "320-431-6462",
            "fax_number": "855-595-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE MINDED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "PLUMSKI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "320-431-6462",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Motley, MN
• Providers in Motley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.