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

Jade Wallat, LGSW

Individual provider Clinical Social Worker · NPI 1063387298

Jade Wallat, LGSW is a Clinical Social Worker in Elk River, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

13880 Business Center Dr NW
Elk River, MN 55330-1692
Phone: (763) 765-3800
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 24666 (MN)

Record details

NPI number1063387298
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address9651 W River Rd, Minneapolis, MN 55444-1123

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