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

MS. Kimberly Ann Locke, LICSW

Individual provider Clinical Social Worker · NPI 1225304405

MS. Kimberly Ann Locke, LICSW is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 2003, 23 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2012
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

5320 Hyland Greens Dr
Bloomington, MN 55437
Phone: (952) 993-2400
Fax: (952) 993-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 273-9107

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16497 (MN)

Record details

NPI number1225304405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 1, 2012
Last updated in NPPESAugust 14, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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