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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376968073

Candice Nicole Dienberg, LCSW, SAC is an Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6510 Grand Teton Plz Ste 402
Madison, WI 53719-1029
Phone: (855) 458-4966
Fax: (608) 841-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9228-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15826-131 (WI)

Record details

NPI number1376968073
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , SAC
Sole proprietorYes
NPI enumeratedMarch 4, 2014
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020

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