BRENDEN MCGIBBON LICSW
NPI 1871089482
Social Worker - Clinical in Minneapolis, MN

Q: What is Brenden Mcgibbon's NPI number?

The NPI number for Brenden Mcgibbon is 1871089482. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is Brenden Mcgibbon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenden Mcgibbon was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2018

2120 PARK AVE, MINNEAPOLIS, MN 55404(612) 872-2000(612) 871-1375 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2019, Sep 21, 2018, Jul 6, 2018 (3 updates tracked since 2018).

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About Brenden Mcgibbon Licsw NPPES

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

BRENDEN MCGIBBON LICSW (NPI 1871089482) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (24309) and active in the NPI registry since July 2018. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1871089482

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBRENDEN MCGIBBONCredential: LICSW

Location Address2120 PARK AVEMinneapolis, MN 55404-3378

Mailing Address2120 Park AveMinneapolis, MN 55404-3378 · (612) 872-2000

Phone(612) 872-2000

Fax(612) 871-1375

Sole ProprietorNo

Enumeration DateJuly 6, 2018

Last NPPES UpdateApril 24, 20193 updates tracked since enumeration

✔ NPI 1871089482 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 · 24309

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.

2120 PARK AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 12419 Nicollet Ave. S.Minneapolis, MN 55404 · Phone (612) 767-2054 · Fax (612) 871-0432

Other Identifiers 1

Medicaid1871089482MN

Other Providers at the Same Location NPPES 20

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

KARLY PORTO

Counselor (Professional)