Kiel Walters Licsw PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIEL WALTERS LICSW PC

Practice address

5200 Willson Rd Ste 210
Edina, MN 55424-1343

Phone

(612) 787-2475

NPI assigned

Apr 23, 2019

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiel Walters, LICSWNPI 1295070514

Title

Owner

Phone

(612) 787-2475

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kiel B Walters, L.I.S.C.W.

  • Clinical Social Worker
  • Edina, MN
  • NPI 1295070514
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1396309696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241343",
            "telephone_number": "612-787-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241343",
            "telephone_number": "612-787-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Raymond Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141525",
            "country_code": "US",
            "telephone_number": "612-787-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIEL WALTERS LICSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-787-2475",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaki Hussain Khan, MD
• Lokesh Khanna, MD
• Tirtha Raj Kharel, M.D.
• Elen Katrina Rhoades Kidd
• Candace Mary Kiebel, MSN
• Richard Fred Kiesel III, MA, LPCC
• Thomas Anthony Kiff, ATC
• Amy Kile, PTA
• Jane M Kilgriff, M.A., L.P.
• Emma Kilian, LPCC LADC

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.