Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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.

See every abbreviation used in this directory →

Practice location Address checks out

7590 Lyric Ln NE
Fridley, MN 55432-3251
Phone: (763) 236-4300
Show map & directions

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients11
Services billed 156 a service is one billed item, such as a visit, a test or a procedure
Average patient age55

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Fridley