Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregg Wahlstrom

Individual provider Clinical Social Worker · NPI 1457339012

Gregg Wahlstrom is a Clinical Social Worker in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

14000 Fairview Dr
Burnsville, MN 55337-5713
Phone: (952) 993-8608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 194 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2420 (MN)

Record details

NPI number1457339012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJuly 13, 2026

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