Individual provider · Type 1 NPI

Bryan J. Kingsriter, LICSW, LMFT

Clinical Social Worker · Edina, MN

NPI number 1407951544 Active

Practice location

6550 York Ave S, Suite 503
Edina, MN 55435-2347

Call (952) 929-3103 Map

Mailing address

1236 Victoria St N
St. Paul, MN 55117-4033

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12105 (MN)
Marriage & Family Therapist 106H00000X106 (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 1407951544

Bryan J. Kingsriter, LICSW, LMFT's National Provider Identifier is 1407951544, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edina, MN. The record was last updated on Sep 11, 2025.