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

Individual provider Clinical Social Worker · NPI 1346871944

Kimberly Ann Shepherd, LICSW, MSW is a Clinical Social Worker in Lakeville, Minnesota. Qualified in 2017, 9 years ago. Practices with Life Development Resources PA, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

7580 160th St W
Lakeville, MN 55044-8348
Phone: (952) 898-1133
Fax: (952) 435-6797
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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 · Licence 26838 (MN)

Record details

NPI number1346871944
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , MSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2020
Last updated in NPPESFebruary 1, 2020
Certification dateFebruary 1, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Life Development Resources Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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