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

Individual provider Clinical Social Worker · NPI 1598072894

Shannon Carol Kempf, LICSW is a Clinical Social Worker in Wadena, Minnesota. Qualified in 2007, 19 years ago. Practices with Birch Lake Counseling LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2010
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

503 Jefferson St S
Wadena, MN 56482-1843
Phone: (218) 675-5101
Fax: (801) 340-9860
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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 18686 (MN)

Record details

NPI number1598072894
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2010
Last updated in NPPESSeptember 8, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Birch Lake Counseling Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wadena