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

Stacey Nicole Bishofsky, LICSW

Individual provider Social Worker · NPI 1346576444

Stacey Nicole Bishofsky, LICSW is a Clinical Social Worker in Fridley, Minnesota. Qualified in 2008, 18 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
18
Licensed in
MN, WI
In the registry since
2009
Specialties on file
3
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

7590 Lyric Ln NE
Fridley, MN 55432-3251
Phone: (763) 236-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1217 8th St N, New Ulm, MN 56073-1552 — (507) 217-5000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19606 (MN)
Social Worker Taxonomy 104100000X · Licence 19606 (MN)
Social Worker Taxonomy 104100000X · Licence 127698-121 (WI)

Record details

NPI number1346576444
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 23, 2009
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fridley