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

Diane Debra Leaders, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1366196115

Diane Debra Leaders, MSW, LICSW is a Clinical Social Worker in Grand Rapids, Minnesota. Qualified in 2004, 22 years ago. Practices with The Roses LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2022
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

516 S Pokegama Ave
Grand Rapids, MN 55744-3820
Phone: (218) 327-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2729 13th Ave E, Hibbing, MN 55746-2314 — (218) 327-2001

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14409 (MN)

Record details

NPI number1366196115
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Roses Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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