IndividualActive
Corie Mckibben, MSW, LICSW
NPI 1952931586 · Clinical Social Worker · Ely, MN
Provider details
- NPI number
- 1952931586
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25428 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
10 N 1st Ave E Ste 202
Ely, MN 55731-1473
Phone: (218) 216-8467
Fax: (218) 261-9083
Street-level locationGet directions
Mailing address
1109 Ringrock Rd
Ely, MN 55731-8235
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.