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

Diane Marie Perry, LICSW

Individual provider Clinical Social Worker · NPI 1598486177

Diane Marie Perry, LICSW is a Clinical Social Worker in Brooklyn Center, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
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

6200 Shingle Creek Pkwy Ste 250
Brooklyn Center, MN 55430-2107
Phone: (612) 578-3976
Fax: (763) 544-0984
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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 11584 (MN)

Record details

NPI number1598486177
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 11, 2022

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