Healthcare Provider Details

I. General information

NPI: 1598812638
Provider Name (Legal Business Name): JOYCE AGNES KLIBER LICSW, MSW, ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOYCE AGNES KLIBER LICSW

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 E BUSH LAKE RD STE 400
MINNEAPOLIS MN
55439-3113
US

IV. Provider business mailing address

7801 E BUSH LAKE RD STE 400
MINNEAPOLIS MN
55439-3113
US

V. Phone/Fax

Practice location:
  • Phone: 952-479-4261
  • Fax: 866-691-8423
Mailing address:
  • Phone: 952-479-4261
  • Fax: 866-691-8423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2399
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: