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

Gregg Wahlstrom

Individual provider Clinical Social Worker · NPI 1457339012

Gregg Wahlstrom is a Clinical Social Worker in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

14000 Fairview Dr
Burnsville, MN 55337-5713
Phone: (952) 993-8608
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 194 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2420 (MN)

Record details

NPI number1457339012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJuly 13, 2026
Mailing address6465 Wayzata Blvd, Ste 315, Minneapolis, MN 55426-1728

Other providers in Burnsville