IndividualActive
Stacey Bishofsky, LICSW
NPI 1346576444 · Clinical Social Worker · Fridley, MN
Provider details
- NPI number
- 1346576444
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19606 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7590 Lyric Ln Ne
Fridley, MN 55432-3251
Phone: (763) 236-4300
Street-level locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Additional practice locations (1)
- 1217 8th St NNew Ulm, MN 56073-1552Phone: (507) 217-5000
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.