Individual provider · Type 1 NPI

Candice Nicole Dienberg, LCSW, SAC

Clinical Social Worker · Madison, WI

NPI number 1376968073 Active

Practice location

6510 Grand Teton Plz Ste 402
Madison, WI 53719-1029

Fax (608) 841-1200

Other practice locations

  • 1015 Gammon Ln, Madison, WI 53719-2210 · (608) 417-8144

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15826-131 (WI)
Clinical Social Worker Primary 1041C0700X9228-123 (WI)

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 1376968073

Candice Nicole Dienberg, LCSW, SAC's National Provider Identifier is 1376968073, issued on Mar 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Oct 30, 2020.