IndividualActive
Brea Wallaker
NPI 1972098440 · Clinical Social Worker · Grand Rapids, MN
Provider details
- NPI number
- 1972098440
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23429 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 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
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
215 Se 2nd Ave
Grand Rapids, MN 55744-3615
Phone: (218) 326-1274
Fax: (218) 326-9787
Street-level locationGet directions
Mailing address
916 La Prairie Ave
Grand Rapids, MN 55744-3319
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.