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

Individual provider Clinical Social Worker · NPI 1821194085

Diane Mathisen, MSW, LICSW is a Clinical Social Worker in Brooklyn Center, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

6860 Shingle Creek Pkwy Ste 116
Brooklyn Center, MN 55430-1411
Phone: (763) 560-4860
Fax: (763) 503-1430
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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 13087 (MN)

Record details

NPI number1821194085
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007

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