JODY WALLIN LICSW
NPI 1124449392
Social Worker - Clinical in Maple Grove, MN

Active since December 13, 2013
12915 63RD AVE N, MAPLE GROVE, MN 55369(952) 826-8465 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jody Wallin Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY WALLIN LICSW (NPI 1124449392) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (20641) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1124449392
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJODY WALLINCredential: LICSW
Location Address12915 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12915 63rd Ave NMaple Grove, MN 55369-6001 · (952) 826-8465
Sole ProprietorNo
Enumeration DateDecember 13, 2013
NPI 1124449392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 20641
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12915 63RD AVE N, Maple Grove, MN 55369

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
12915 63RD AVE N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
12915 63RD AVE N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
12915 63RD AVE N
MAPLE GROVE, MN 55369
Recreation Therapist
12915 63RD AVE N
MAPLE GROVE, MN 55369
Behavior Analyst
12915 63RD AVE N
MAPLE GROVE, MN 55369
Psychiatric Residential Treatment Facility
12915 63RD AVE N
MAPLE GROVE, MN 55369
Psychiatric Hospital
12915 63RD AVE N
MAPLE GROVE, MN 55369
Psychiatric Hospital
12915 63RD AVE N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Wallin's NPI number?

The NPI number for Jody Wallin is 1124449392. It was assigned to this individual provider in the NPPES registry on December 13, 2013.

Where is Jody Wallin located?

Jody Wallin practices at 12915 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (952) 826-8465.

What is Jody Wallin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jody Wallin accept?

Health plans from HealthPartners list Jody Wallin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jody Wallin was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.