Kimberly Wallgren, MSW, LICSW

Clinical Social Worker · Baxter, MN

Individual Active NPI

NPI number 1619706736

Practice location

14241 Grand Oaks Dr
Baxter, MN 56425-8749
Phone
(218) 316-3109

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NPI record

NPI
1619706736
Entity type
Individual (Type 1)
Enumeration date
July 29, 2024
Last updated
July 29, 2024
Certified
July 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 266696 MN

About Kimberly Wallgren

Kimberly Wallgren, MSW, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 14241 Grand Oaks Dr, Baxter, MN 56425-8749. The NPI number 1619706736 was assigned on July 29, 2024 and the record was last updated on July 29, 2024.

Kimberly Wallgren lists a license in the registry: #266696 (MN) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Wallgren, MSW, LICSW?

The NPI number is 1619706736.

What is the phone number of Kimberly Wallgren?

The phone number listed for the practice location is (218) 316-3109.

Where is Kimberly Wallgren located?

14241 Grand Oaks Dr, Baxter, MN 56425-8749.

What is the taxonomy code for Kimberly Wallgren?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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