Individual provider · Type 1 NPI

Stacey Nicole Bishofsky, LICSW

Clinical Social Worker · Fridley, MN

NPI number 1346576444 Active

Practice location

7590 Lyric Ln NE
Fridley, MN 55432-3251

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 1217 8th St N, New Ulm, MN 56073-1552 · (507) 217-5000

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X19606 (MN)
Social Worker 104100000X127698-121 (WI)
Clinical Social Worker Primary 1041C0700X19606 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1346576444

Stacey Nicole Bishofsky, LICSW's National Provider Identifier is 1346576444, issued on Oct 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on May 25, 2023.