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

Individual provider Clinical Social Worker · NPI 1770296634

Alexandra Bonyata Thimell, MSW, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Grander Peace Counseling LLC, a 7-clinician group. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
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

790 Cleveland Ave S Ste 217
Saint Paul, MN 55116-3845
Phone: (612) 454-1656
Fax: (651) 560-3768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29349 (MN)

Record details

NPI number1770296634
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJanuary 5, 2023
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grander Peace Counseling Llc — 7 clinicians
Accepts Medicare assignment Not indicated

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