Individual provider · Type 1 NPI

Kelly Nicole Gadola, LICSW

Clinical Social Worker · Minnetonka, MN

NPI number 1508449612 Active

Practice location

12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157

Fax (952) 426-0508

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1508449612

Kelly Nicole Gadola, LICSW's National Provider Identifier is 1508449612, issued on May 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 17, 2025.