Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYAN BODDEN
ActiveKYAN BODDEN is a Clinical Social Worker healthcare provider located in BLOOMINGTON, Minnesota. NPI 1194034686 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1194034686
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2010 (15.855225599354 yrs)
- Last Updated
- Apr 4, 2024
- License
-
16457 (MN)
Practice Information
- Address
-
7920 OLD CEDAR AVE SBLOOMINGTON, MN, 554251207Browse MN providers · Browse ZIP 55425
- Phone
- 9524281800
- Fax
- 9524281723
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MCVAY | L.I.C.S.W. | 1962484014 |
| MISS KEEVA NICOLE HARTLEY | MSW LICSW | 1932181658 |
| ANITA DEMANTS | — | 1194701151 |
| JAN L WEBER | MSW LICSW | 1558309740 |
| MRS. SUZANNE GLORIA STOLTENBERG | LICSW | 1194733170 |
| LINDA L NIELSEN | LICSW | 1326137969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.