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

Individual provider Clinical Social Worker · NPI 1710920608

John R Stillman, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1995, 31 years ago. Practices with Caspersen LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2006
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

2809 Wayzata Blvd
Minneapolis, MN 55405-2131
Phone: (612) 377-9190
Fax: (612) 374-4498
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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 12770 (MN)

Record details

NPI number1710920608
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESAugust 28, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Caspersen Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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