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

Individual provider Clinical Social Worker · NPI 1467809624

Benjamin Dieffenbach, MSW, LICSW is a Clinical Social Worker in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2368 Joy Ave
White Bear Lake, MN 55110-7409
Phone: (651) 338-9435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22483 (MN)

Record details

NPI number1467809624
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

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