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

Individual provider Clinical Social Worker · NPI 1417374067

Joanna Wallenberg, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
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

514 Beltrami Ave NW
Bemidji, MN 56601-3010
Phone: (218) 444-2845
Fax: (218) 444-2847
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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 20629 (MN)

Record details

NPI number1417374067
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 20, 2014
Last updated in NPPESMarch 20, 2014
Mailing address31795 County Highway 50, Park Rapids, MN 56470-4075

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