Provider Demographics
NPI:1417417858
Name:KILPELA, GINNY ANN (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:GINNY
Middle Name:ANN
Last Name:KILPELA
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-9240
Mailing Address - Country:US
Mailing Address - Phone:906-231-6727
Mailing Address - Fax:
Practice Address - Street 1:3901 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2614
Practice Address - Country:US
Practice Address - Phone:612-824-0415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27648104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker