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

Individual provider Clinical Social Worker · NPI 1023410107

Alicia Ann Vandenberg, MSW, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 2002, 24 years ago. Practices with Acres for Life Therapy and Wellness Center, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2014
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

2345 Ariel St N
Maplewood, MN 55109-2248
Phone: (651) 254-4793
Fax: (651) 254-0877
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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 15924 (MN)

Record details

NPI number1023410107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 21, 2014
Last updated in NPPESSeptember 21, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Acres For Life Therapy And Wellness Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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