Healthcare Provider Details

I. General information

NPI: 1306430897
Provider Name (Legal Business Name): DARCY DIANE WINSOR MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 MAIN ST N
CAMBRIDGE MN
55008-1275
US

IV. Provider business mailing address

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON MN
55112-1789
US

V. Phone/Fax

Practice location:
  • Phone: 612-464-6671
  • Fax: 651-877-1957
Mailing address:
  • Phone: 612-464-6671
  • Fax: 651-877-1957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13996
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: