JOANNA WALLENBERG (LICSW) – Clinical Social Worker, NPI 1417374067

Clinical Social Worker

JOANNA WALLENBERG (LICSW) is a healthcare provider. based in Bemidji, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 20629 (MN). The NPI Number for JOANNA WALLENBERG (LICSW) is 1417374067

Main info

Female

Sole Proprietor

Name

JOANNA WALLENBERG (LICSW)

NPI

1417374067

Phone

(218) 444-2845

Address

514 BELTRAMI AVE NW

Enumeration Date

20 March 2014

Last Update Date

20 March 2014

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JOANNA WALLENBERG (LICSW)

514 BELTRAMI AVE NW
BEMIDJI, MN 566013010
Phone: (218) 444-2845
Fax: (218) 444-2847
Type: Location
31795 COUNTY HIGHWAY 50
PARK RAPIDS, MN 564704075
Phone: (218) 444-2845
Fax: (218) 444-2847
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

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Reviews

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Frequently asked questions

How do I look up JOANNA WALLENBERG (LICSW) by NPI?

Use NPI 1417374067 when you need to reference JOANNA WALLENBERG (LICSW) in forms, claims, or directories.

Is JOANNA WALLENBERG (LICSW) active in the national directory?

JOANNA WALLENBERG (LICSW)'s public NPI profile is in an active state.

What does JOANNA WALLENBERG (LICSW) treat or focus on?

Patients typically see JOANNA WALLENBERG (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.

What location metadata exists for JOANNA WALLENBERG (LICSW)?

The page summarizes Bemidji, Minnesota for JOANNA WALLENBERG (LICSW); expand the address list for detail.

What if Bemidji, Minnesota seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.