Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kyan Bodden

Individual provider Clinical Social Worker · NPI 1194034686

Kyan Bodden is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 2009, 17 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2010
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Phone: (952) 428-1800
Fax: (952) 428-1723
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16457 (MN)

Record details

NPI number1194034686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 131 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Lyn-Lake Psychotherapy and Wellness Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 72 clinicians in the practice; 12 are shown here.

Other providers in Bloomington