Kelly Jean Tibbetts, LICSW
Kelly Jean Tibbetts, LICSW is a Clinical Social Worker in Spring Park, Minnesota. Qualified in 2016, 10 years ago. Practices with Restorative Behavioral Health Services, a 3-clinician group and works from 2 locations. Licensed in Minnesota.
- Years since qualifying
- 10
- 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.
Practice location Address checks out
4154 Shoreline Dr Ste 202Spring Park, MN 55384-5610
Phone: (952) 491-9450
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 7501 80th St S, Cottage Grove, MN 55016-3020 — (218) 409-7508
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 22636 (MN) |
|---|
Record details
| NPI number | 1992350367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | Yes |
| NPI enumerated | August 2, 2019 |
| Last updated in NPPES | June 6, 2025 |
| Certification date | June 6, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Restorative Behavioral Health Services — 3 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Spring Park
-
Jennie Jean Pogreba, LICSW
4154 Shoreline Dr, Spring Park, MN 55384-5606 · (612) 567-0316