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

Individual provider Clinical Social Worker · NPI 1023384112

Stephanie Jo Faber, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2007, 19 years ago. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2012
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

1606 Washington St NE # 2
Minneapolis, MN 55413-1336
Phone: (763) 221-9084
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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 16573 (MN)

Record details

NPI number1023384112
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESAugust 29, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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