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

Individual provider Clinical Social Worker · NPI 1598313058

Keeli Nicole Wagner, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
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

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-1669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2530 Chicago Ave # Csc175, Minneapolis, MN 55404-4289 — (612) 813-7411

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20422 (MN)

Record details

NPI number1598313058
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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