Healthcare Provider Details

I. General information

NPI: 1861306623
Provider Name (Legal Business Name): DAWN SELL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W SUPERIOR ST STE 760
DULUTH MN
55802-2033
US

IV. Provider business mailing address

4876 LAZY PINE RD
MOOSE LAKE MN
55767-9216
US

V. Phone/Fax

Practice location:
  • Phone: 218-522-4469
  • Fax: 218-520-3038
Mailing address:
  • Phone: 218-393-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22260
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: