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

Individual provider Clinical Social Worker · NPI 1619706736

Kimberly Wallgren, MSW, LICSW is a Clinical Social Worker in Baxter, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
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

14241 Grand Oaks Dr
Baxter, MN 56425-8749
Phone: (218) 316-3109
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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 266696 (MN)

Record details

NPI number1619706736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address14241 Grand Oaks Dr, Baxter, MN 56425-8749

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