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

MS. Nicky Diane Bredeson, LICSWLMFT

Individual provider Clinical Social Worker · NPI 1487717344

MS. Nicky Diane Bredeson, LICSWLMFT is a Clinical Social Worker in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4005 W 65th St #108
Edina, MN 55435-1700
Phone: (952) 929-1819
Fax: (952) 929-0022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence L.M.F.T.564 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence L.I.C.S.W. 257 (MN)

Record details

NPI number1487717344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSWLMFT
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESSeptember 11, 2025

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