Individual provider · Type 1 NPI
Kelly Jean Tibbetts, LICSW
Clinical Social Worker · Spring Park, MN
Practice location
4154 Shoreline Dr Ste 202
Spring Park, MN 55384-5610
Mailing address
PO Box 13
Wrenshall, MN 55797-0013
Other practice locations
- 7501 80th St S, Cottage Grove, MN 55016-3020 · (218) 409-7508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 22636 (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…
3 other providers at this address
Other clinical social worker providers in Spring Park
About NPI 1992350367
Kelly Jean Tibbetts, LICSW's National Provider Identifier is 1992350367, issued on Aug 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spring Park, MN. The record was last updated on Jun 6, 2025.