Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiel Walters LICSW PC

Organization Clinical Social Worker · NPI 1396309696

Kiel Walters LICSW PC is a Clinical Social Worker in Edina, Minnesota. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5200 Willson Rd Ste 210
Edina, MN 55424-1343
Phone: (612) 787-2475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 821 Raymond Ave Ste 240, Saint Paul, MN 55114-1525 — (612) 787-2475

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1396309696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiel Walters — Owner · (612) 787-2475
NPI enumeratedApril 23, 2019
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address5200 Willson Rd Ste 210, Edina, MN 55424-1343

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