IndividualActive
Joanna Wallenberg, LICSW
NPI 1417374067 · Clinical Social Worker · Bemidji, MN
Joanna Wallenberg, LICSW is a Clinical Social Worker provider in Bemidji, MN (NPI 1417374067).
Provider details
- NPI number
- 1417374067
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20629 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
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
514 Beltrami Ave Nw
Bemidji, MN 56601-3010
Phone: (218) 444-2845
Fax: (218) 444-2847
Street-level locationGet directions
Mailing address
31795 County Highway 50
Park Rapids, MN 56470-4075
Registry dates
- Enumerated
- 2014-03-20
- Last updated
- 2014-03-20
Frequently asked questions
- What is Joanna Wallenberg's NPI number?
- Joanna Wallenberg's National Provider Identifier (NPI) is 1417374067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joanna Wallenberg's specialty?
- Joanna Wallenberg is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Joanna Wallenberg located?
- Joanna Wallenberg's practice location on file with NPPES is 514 Beltrami Ave Nw, Bemidji, MN 56601-3010.
- What is Joanna Wallenberg's phone number?
- The practice phone number listed in the NPPES registry for Joanna Wallenberg is (218) 444-2845.
- Is Joanna Wallenberg's NPI active?
- Yes — Joanna Wallenberg's NPI (1417374067) is active in the NPPES registry as of the last update on 2014-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.