Healthcare Provider Details

I. General information

NPI: 1881528370
Provider Name (Legal Business Name): CMW PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7510 170TH AVE NW
RAMSEY MN
55303-5435
US

IV. Provider business mailing address

7510 170TH AVE NW
RAMSEY MN
55303-5435
US

V. Phone/Fax

Practice location:
  • Phone: 318-614-2976
  • Fax:
Mailing address:
  • Phone: 318-614-2976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CLARINDA MOFFIST WILLIAMS
Title or Position: SCHOOL PSYCHOLOGIST
Credential:
Phone: 318-614-2976