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

Bethany Grove, LICSW

Individual provider Clinical Social Worker · NPI 1770262008

Bethany Grove, LICSW is a Clinical Social Worker in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

6000 W Moore Lake Dr NE
Fridley, MN 55432
Phone: (763) 502-5646
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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 27277 (MN)

Record details

NPI number1770262008
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address6000 W Moore Lake Dr Ne, Fridley, MN 55432

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