OrganizationActive
Kiel Walters Licsw PC
NPI 1396309696 · Clinical Social Worker · Edina, MN
Kiel Walters Licsw PC is a Clinical Social Worker organization in Edina, MN (NPI 1396309696).
Provider details
- NPI number
- 1396309696
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kiel Walters, Owner(612) 787-2475
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5200 Willson Rd Ste 210
Edina, MN 55424-1343
Phone: (612) 787-2475
Street-level locationGet directions
Mailing address
5200 Willson Rd Ste 210
Edina, MN 55424-1343
Additional practice locations (1)
- 821 Raymond Ave Ste 240Saint Paul, MN 55114-1525Phone: (612) 787-2475
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Frequently asked questions
- What is Kiel Walters Licsw PC's NPI number?
- Kiel Walters Licsw PC's National Provider Identifier (NPI) is 1396309696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kiel Walters Licsw PC?
- Kiel Walters Licsw PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kiel Walters Licsw PC located?
- Kiel Walters Licsw PC's practice location on file with NPPES is 5200 Willson Rd Ste 210, Edina, MN 55424-1343.
- What is Kiel Walters Licsw PC's phone number?
- The practice phone number listed in the NPPES registry for Kiel Walters Licsw PC is (612) 787-2475.
- Who is the authorized official for Kiel Walters Licsw PC?
- The authorized official listed on Kiel Walters Licsw PC's NPPES record is Kiel Walters, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kiel Walters Licsw PC's NPI active?
- Yes — Kiel Walters Licsw PC's NPI (1396309696) is active in the NPPES registry as of the last update on 2020-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.