Provider Demographics
NPI:1336663673
Name:WOOD, CLAUDIA (LPCC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 ROYAL CT # 144
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-5048
Mailing Address - Country:US
Mailing Address - Phone:612-444-8039
Mailing Address - Fax:612-324-7423
Practice Address - Street 1:544 3RD ST NW STE 210
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1439
Practice Address - Country:US
Practice Address - Phone:612-444-8039
Practice Address - Fax:612-324-7423
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61493385101YM0800X
MN1428101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1952769739OtherWOOD PSYCHOTHERAPY LLC
MN1336663673Medicaid