IndividualActive
Alicia Vandenberg, MSW, LICSW
NPI 1023410107 · Clinical Social Worker · Maplewood, MN
Provider details
- NPI number
- 1023410107
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 15924 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2345 Ariel St N
Maplewood, MN 55109-2248
Phone: (651) 254-4793
Fax: (651) 254-0877
Approximate (ZIP-level) locationGet directions
Mailing address
2345 Ariel St N
Maplewood, MN 55109-2248
Registry dates
- Enumerated
- 2014-09-21
- Last updated
- 2014-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.