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Birgit Olsen Kelly, LICSW

NPI 1346420643ActiveIndividual· Social Worker, Clinical· Coon Rapids, MN

Social Worker, Clinical (LICSW) with Tubman, practicing in Coon Rapids, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1346420643
StatusActive
Entity typeIndividual
CredentialLICSW
Sole proprietorNo
NPI issuedNov 5, 2007
Last updated in NPPESNov 5, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X11163MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (MN)

Medicare sources and data years

Education and affiliations

Graduation year1994
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Medical group

  • TubmanMinneapolis, MN · 3 clinicians

Source: CMS Care Compare

Other clinical social workers in Coon Rapids

All 75 clinical social workers in Coon Rapids · All clinical social workers in Minnesota