Individual provider · Type 1 NPI

Lillian Kallestad, MSW, LICSW

Clinical Social Worker · Maplewood, MN

NPI number 1952134199 Active

Practice location

1856 Beam Ave Ste 200
Maplewood, MN 55109-1162

Call (651) 661-6550 Map

Fax (651) 661-6551

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

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 1952134199

Lillian Kallestad, MSW, LICSW's National Provider Identifier is 1952134199, issued on Aug 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, MN. The record was last updated on Feb 25, 2025.