IndividualActive
Addison Thelen, LICSW
NPI 1629811955 · Clinical Social Worker · Golden Valley, MN
Provider details
- NPI number
- 1629811955
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 29379 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4284 Dahlberg Dr
Golden Valley, MN 55422-4805
Phone: (952) 873-5383
Fax: (952) 562-2827
Street-level locationGet directions
Mailing address
1113 50th Ave N
Minneapolis, MN 55430-2687
Additional practice locations (1)
- 122 W Franklin Ave Ste 323Minneapolis, MN 55404-2452Phone: (612) 871-3759
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.