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

Individual provider Clinical Social Worker · NPI 1871292284

Kelly Hildre, MSW, LICSW is a Clinical Social Worker in Buffalo, Minnesota. Qualified in 2020, 6 years ago. Practices with Jacqui Ruzicka Counseling Services LLC, a 2-clinician group.

Years since qualifying
6
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

15 2nd St NW
Buffalo, MN 55313-1357
Phone: (763) 612-2097
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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

Record details

NPI number1871292284
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jacqui Ruzicka Counseling Services Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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