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

Blue Iridescent Riley, LICSW

Individual provider Clinical Social Worker · NPI 1902683410

Blue Iridescent Riley, LICSW is a Clinical Social Worker in St Louis Park, 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.

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Practice location Address checks out

7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone: (612) 223-8898
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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 32669 (MN)

Record details

NPI number1902683410
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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