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

Individual provider Clinical Social Worker · NPI 1093160103

Stephanie Dibb is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with Associated Clinic of Psychology Inc, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2016
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Practice location Address checks out

4544 4th Ave S
Minneapolis, MN 55419-5145
Phone: (612) 767-8476
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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 21051 (MN)

Record details

NPI number1093160103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESApril 26, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Associated Clinic Of Psychology Inc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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