Individual provider · Type 1 NPI

Kyan Bodden

Clinical Social Worker · Bloomington, MN

NPI number 1194034686 Active

Practice location

7920 Old Cedar Ave S
Bloomington, MN 55425-1207

Call (952) 428-1800 Map

Fax (952) 428-1723

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16457 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194034686

Kyan Bodden's National Provider Identifier is 1194034686, issued on Sep 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, MN. The record was last updated on Sep 29, 2026.