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BETHANY GROVE LICSW
NPI 1770262008
Social Worker - Clinical in Fridley, MN

Active since July 13, 2023
6000 W MOORE LAKE DR NE, FRIDLEY, MN 55432(763) 502-5646 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 3, 2025, Jul 13, 2023 (2 updates tracked since 2023).

About Bethany Grove Licsw NPPES

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

BETHANY GROVE LICSW (NPI 1770262008) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (27277) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1770262008
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY GROVECredential: LICSW
Location Address6000 W MOORE LAKE DR NEFridley, MN 55432
Mailing Address6000 W Moore Lake Dr NeFridley, MN 55432 · (763) 502-5646
Phone(763) 502-5646
Sole ProprietorNo
Enumeration DateJuly 13, 2023
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1770262008 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 · 27277
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.
6000 W MOORE LAKE DR NE, Fridley, MN 55432
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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 Bethany Grove's NPI number?

The NPI number for Bethany Grove is 1770262008. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Bethany Grove located?

Bethany Grove practices at 6000 W Moore Lake Dr NE, Fridley, MN 55432. The listed phone number is (763) 502-5646.

What is Bethany Grove'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 Bethany Grove was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.