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

Individual provider Clinical Social Worker · NPI 1346420643

Birgit Olsen Kelly, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 1994, 32 years ago. Practices with Tubman, a 3-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
32
Licensed in
MN
In the registry since
2007
What do these letters mean?
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

8990 Springbrook Dr NW Ste 220
Coon Rapids, MN 55433-5850
Phone: (763) 780-4440
Fax: (763) 780-9219
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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 11163 (MN)

Record details

NPI number1346420643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 5, 2007
Last updated in NPPESNovember 5, 2007
Mailing address8990 Springbrook Dr Nw, Suite 220, Coon Rapids, MN 55433-5850

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Tubman — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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