Kelly Jean Tibbetts, LICSW Valid NPI

Individual provider · Clinical Social Worker · Spring Park, MN

NPI

1992350367

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

22636 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2019-08-02

Last updated

2025-06-06