Stacey Nicole Bishofsky, LICSW
NPI 1346576444ActiveIndividual· Social Worker, Clinical· Fridley, MN
Social Worker, Clinical (LICSW) with Allina Health System, practicing in Fridley, Minnesota. Medicare paid $7,798 for services to 11 patients in 2024.
Overview
| NPI | 1346576444 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Oct 23, 2009 |
| Last updated in NPPES | May 25, 2023 |
| Certified by provider | May 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 19606 | MN |
| Social Worker | 104100000X | 19606 | MN |
| Social Worker | 104100000X | 127698-121 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 156 across 4 procedure codes |
| Paid by Medicare | $7,798 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
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