Individual provider · Type 1 NPI

Audriana Bagwell, LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1578417077 Active

Practice location

17025 Commercial Park Rd Unit 6
Brainerd, MN 56401-6254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23732 (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 1578417077

Audriana Bagwell, LICSW's National Provider Identifier is 1578417077, issued on Feb 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Feb 23, 2026.