Individual provider · Type 1 NPI

Kevin Ly

Clinical Social Worker · Minneapolis, MN

NPI number 1275484081 Active

Practice location

410 Church St SE
Minneapolis, MN 55455-0222

Call (612) 625-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X33435 (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 1275484081

Kevin Ly's National Provider Identifier is 1275484081, issued on Feb 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 6, 2026.