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

Individual provider Clinical Social Worker · NPI 1306115969

Judy Kay Brunsgaard, LICSW is a Clinical Social Worker in Maple Grove, Minnesota. Qualified in 2008, 18 years ago. Practices with Innovative Psychological Consultants, LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
18
Licensed in
MN, WI
In the registry since
2011
Specialties on file
2
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

7236 Forestview Ln N
Maple Grove, MN 55369-5656
Phone: (763) 416-4167
Fax: (763) 416-4137
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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 19209 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7902-123 (WI)

Record details

NPI number1306115969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 27, 2011
Last updated in NPPESDecember 13, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Innovative Psychological Consultants, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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