Individual
MARY K MORIARTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW, MFT
Contact information
Practice address
4825 HIGHWAY 55, SUITE 144, GOLDEN VALLEY, MN 55422-5147
(763) 546-6718
(763) 546-6725
Mailing address
17725 WEAVER LAKE DR, MAPLE GROVE, MN 55311-1328
(763) 494-8554
(769) 494-8554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
357
MN
106H00000X
Marriage & Family Therapist
Primary
56
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004274510
AETNA
MN
01
—
099373
MANAGED HEALTH NETWORK
MN
01
—
106507
UCARE
MN
01
—
2815870
UNITED BEHAVIORAL HEALTH
MN
01
—
33967
CERIDIAN
MN
01
—
40037
BEHAVIORAL HEALTHCARE
MN
01
—
54340
CIGNA
MN
01
—
57B23MO
BLUECROSS
MN
01
—
57B24MO
BLUECROSS INDIVIDUAL
MN
01
—
6220253
MEDICA
MN
01
—
87726
UNITED HEALTHCARE
MN
01
—
N009275
CHAMPUS
MN
Enumeration date
10/19/2005
Last updated
09/11/2025
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