IndividualActive
Gretchen Kirvida, LICSW
NPI 1215097928 · Clinical Social Worker · Centerville, MN
Provider details
- NPI number
- 1215097928
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 3068 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7039 20th Ave
Centerville, MN 55038-9737
Phone: (651) 288-0332
Fax: (651) 288-0493
Street-level locationGet directions
Mailing address
Po Box 397
Center City, MN 55012
Additional practice locations (1)
- 882 Sw 15th StreetForest Lake, MN 55025Phone: (651) 464-2194Fax: (651) 464-5744
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2020-08-03
- Certified
- 2020-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.