Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebel K Gustafson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1407061047

Rebel K Gustafson, MSW, LICSW is a Clinical Social Worker in Duluth, Minnesota. Qualified in 1995, 31 years ago. Practices with Innovative Psychological Consultants, LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
31
Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

407 E 3rd St
Duluth, MN 55805-1950
Phone: (218) 786-4000
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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 8719 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8589 (WI)

Record details

NPI number1407061047
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESSeptember 29, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Innovative Psychological Consultants, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Duluth