KIMBERLY WALLGREN MSW, LICSW
NPI 1619706736
Social Worker - Clinical in Baxter, MN

Active since July 29, 2024
14241 GRAND OAKS DR, BAXTER, MN 56425(218) 316-3109 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Wallgren Msw, Licsw NPPES

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

KIMBERLY WALLGREN MSW, LICSW (NPI 1619706736) is an individual clinical provider in Baxter, Minnesota, licensed in Minnesota (266696) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1619706736
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY WALLGRENCredential: MSW, LICSW
Location Address14241 GRAND OAKS DRBaxter, MN 56425-8749
Mailing Address14241 Grand Oaks DrBaxter, MN 56425-8749 · (218) 316-3109
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
NPI 1619706736 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 · 266696
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.
14241 GRAND OAKS DR, Baxter, MN 56425

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
14241 GRAND OAKS DR
BAXTER, MN 56425
Nurse Practitioner (Family)
14241 GRAND OAKS DR
BAXTER, MN 56425
Psychiatry & Neurology (Psychiatry)
14241 GRAND OAKS DR
BAXTER, MN 56425
Social Worker (Clinical)
14241 GRAND OAKS DR
BAXTER, MN 56425

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 Kimberly Wallgren's NPI number?

The NPI number for Kimberly Wallgren is 1619706736. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Kimberly Wallgren located?

Kimberly Wallgren practices at 14241 Grand Oaks Dr, Baxter, MN 56425. The listed phone number is (218) 316-3109.

What is Kimberly Wallgren'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 Kimberly Wallgren was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.