Jody Wallin, LICSW
NPI 1124449392 · Clinical Social Worker · Maple Grove, MN
Jody Wallin, LICSW is a Clinical Social Worker provider in Maple Grove, MN (NPI 1124449392).
Provider details
- NPI number
- 1124449392
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 20641 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-13
- Last updated
- 2013-12-13
Frequently asked questions
- What is Jody Wallin's NPI number?
- Jody Wallin's National Provider Identifier (NPI) is 1124449392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Wallin's specialty?
- Jody Wallin is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jody Wallin located?
- Jody Wallin's practice location on file with NPPES is 12915 63rd Ave N, Maple Grove, MN 55369-6001.
- What is Jody Wallin's phone number?
- The practice phone number listed in the NPPES registry for Jody Wallin is (952) 826-8465.
- Is Jody Wallin's NPI active?
- Yes — Jody Wallin's NPI (1124449392) is active in the NPPES registry as of the last update on 2013-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.