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

Individual provider Clinical Social Worker · NPI 1083486468

Brianne Wallgren, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Neighborhood Healthsource, a 16-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
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

122 Case Ave
Saint Paul, MN 55117-5049
Phone: (218) 780-7931
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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 23400 (MN)

Record details

NPI number1083486468
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Neighborhood Healthsource — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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