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

Individual provider Clinical Social Worker · NPI 1467083436

Stephanie Ann Dietz, LISCW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Minnesota Center for Psychology, LLC, a 16-clinician group and works from 2 locations. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

333 Washington Ave N Ste 500
Minneapolis, MN 55401-1331
Phone: (612) 405-9337
Fax: (651) 925-0427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Groveland Ter Ste 202, Minneapolis, MN 55403-1154 — (612) 405-9337

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 26354 (MN)

Record details

NPI number1467083436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISCW
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Minnesota Center For Psychology, Llc — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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