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

Kallie Nicole Severin, LICSW

Individual provider Clinical Social Worker · NPI 1295486074

Kallie Nicole Severin, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

721 Commerce Dr
Woodbury, MN 55125-9118
Phone: (651) 424-4000
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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 27326 (MN)

Record details

NPI number1295486074
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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