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

Individual provider Clinical Social Worker · NPI 1679952626

Kristina Stewart Bonello, LICSW is a Clinical Social Worker in Richfield, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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

6425 Nicollet Ave
Richfield, MN 55423-1675
Phone: (612) 861-1675
Fax: (612) 861-3446
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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 21808 (MN)

Record details

NPI number1679952626
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 22, 2015

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