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

Individual provider Clinical Social Worker · NPI 1427833342

Rebecca Berry, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2016, 10 years ago. Practices with The Minnesota Ketamine and Wellness Institute PA, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2023
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

1032 Grand Ave Ste 202
Saint Paul, MN 55105-3064
Phone: (612) 315-9905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3217 Hennepin Ave Ste 3, Minneapolis, MN 55408-4695 — (612) 460-7098

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25827 (MN)

Record details

NPI number1427833342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESMarch 9, 2024
Certification dateMarch 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Minnesota Ketamine And Wellness Institute Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul