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

Kelly Nicole Gadola, LICSW

Individual provider Clinical Social Worker · NPI 1508449612

Kelly Nicole Gadola, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2018, 8 years ago. Registered with an NPI since 2021.

Years since qualifying
8
In the registry since
2021
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

12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Phone: (952) 999-6097
Fax: (952) 426-0508
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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 number1508449612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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