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

Brea Wallaker

Individual provider Clinical Social Worker · NPI 1972098440

Brea Wallaker is a Clinical Social Worker in Grand Rapids, Minnesota. Qualified in 2015, 11 years ago. Practices with Northland Counseling Center Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018

Practice location Address checks out

215 SE 2nd Ave
Grand Rapids, MN 55744-3615
Phone: (218) 326-1274
Fax: (218) 326-9787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23429 (MN)

Record details

NPI number1972098440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESJune 27, 2018
Mailing address916 La Prairie Ave, Grand Rapids, MN 55744-3319

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northland Counseling Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids