Individual provider · Type 1 NPI
Benjamin Dieffenbach, MSW, LICSW
Clinical Social Worker · White Bear Lake, MN
Practice location
2368 Joy Ave
White Bear Lake, MN 55110-7409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 22483 (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 1467809624
Benjamin Dieffenbach, MSW, LICSW's National Provider Identifier is 1467809624, issued on May 18, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in White Bear Lake, MN. The record was last updated on Mar 4, 2024.