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

MS. Kimberly Lynne Sobon, LICSW

Individual provider Clinical Social Worker · NPI 1780254912

MS. Kimberly Lynne Sobon, LICSW is a Clinical Social Worker in Champlin, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
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

7914 113th Ave N
Champlin, MN 55316-3766
Phone: (612) 483-6452
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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 23506 (MN)

Record details

NPI number1780254912
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 29, 2021
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

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