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

Kelly Vourlos, MSW, LICSW

Individual provider Social Worker · NPI 1760875082

Kelly Vourlos, MSW, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2014, 12 years ago. Practices with River Valley Behavioral Health and Wellness Center, PLLC, a 17-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2015
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

10505 Wayzata Blvd Ste 101
Minnetonka, MN 55305-1507
Phone: (952) 484-2020
Fax: (952) 492-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 Seville Dr. Ste. 205, Jordan, MN 55352 — (955) 484-2020
  • 8640 Eagle Creek Cir, Savage, MN 55378-4400 — (952) 746-7664

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 15164 (MN)

Record details

NPI number1760875082
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESJuly 22, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice River Valley Behavioral Health And Wellness Center, Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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