Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jeane Dwinnell-Dillon, LICSW

Individual provider Clinical Social Worker · NPI 1497112254

Kimberly Jeane Dwinnell-Dillon, LICSW is a Clinical Social Worker in Baxter, Minnesota. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016
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

13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Phone: (218) 829-9307
Fax: (218) 829-7649
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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 22187 (MN)

Record details

NPI number1497112254
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJanuary 25, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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