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

Individual provider Clinical Social Worker · NPI 1992041222

Abigail Kelley, MSW, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Qualified in 2009, 17 years ago. Practices with Vanda Counseling and Psychological Services, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2012
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone: (763) 488-4084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 — (763) 427-7964

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19973 (MN)

Record details

NPI number1992041222
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 13, 2012
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Vanda Counseling And Psychological Services — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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