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JOANNA WALLENBERG LICSW
NPI 1417374067
Social Worker - Clinical in Bemidji, MN

Active since March 20, 2014
514 BELTRAMI AVE NW, BEMIDJI, MN 56601(218) 444-2845(218) 444-2847 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joanna Wallenberg Licsw NPPES

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

JOANNA WALLENBERG LICSW (NPI 1417374067) is an individual clinical provider in Bemidji, Minnesota, licensed in Minnesota (20629) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1417374067
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOANNA WALLENBERGCredential: LICSW
Location Address514 BELTRAMI AVE NWBemidji, MN 56601-3010
Mailing Address31795 County Highway 50Park Rapids, MN 56470-4075 · (218) 444-2845 · Fax (218) 444-2847
Phone(218) 444-2845
Fax(218) 444-2847
Sole ProprietorYes
Enumeration DateMarch 20, 2014
✔ NPI 1417374067 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 · 20629
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.
514 BELTRAMI AVE NW, Bemidji, MN 56601
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Other Providers at the Same Location NPPES 9

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

DR. LLOYD E ROOTES LP, PHD
Psychologist
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
DR. MARY SUSANNA SALTER MD
Internal Medicine
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 766-9281
DAVID DOUGLAS FISHER LP
Psychologist (Clinical)
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
JUDITH A HOOPMAN LICSW
Social Worker (Clinical)
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
MS. COLLEEN RAE BECK LICSW
Social Worker (Clinical)
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
HEIDI SCHMITT-WORMLEY
Counselor (Addiction (Substance Use Disorder))
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
SUSAN JANE SCOTT LICSW
Social Worker (Clinical)
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845
CHRISTOPHER J. GODDING LICSW
Social Worker (Clinical)
514 BELTRAMI AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 444-2845

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 Joanna Wallenberg's NPI number?

The NPI number for Joanna Wallenberg is 1417374067. It was assigned to this individual provider in the NPPES registry on March 20, 2014.

Where is Joanna Wallenberg located?

Joanna Wallenberg practices at 514 Beltrami Ave NW, Bemidji, MN 56601. The listed phone number is (218) 444-2845.

What is Joanna Wallenberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Joanna Wallenberg was last updated on March 20, 2014. 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.