Bishofsky, Stacey Nicole

Bishofsky, Stacey Nicole is an sole proprietor health care provider with primary practice located at 7590 Lyric Ln Ne , Fridley MN 55432-3251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bishofsky, Stacey Nicole can be contacted via phone (763) 236-4300.

Contact Information

Primary practice address
7590 Lyric Ln Ne Fridley MN 55432-3251
Phone: (763) 236-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 19606 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 127698-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19606 Minnesota

Profile Details

NPI number 1346576444
LBN Legal business name Bishofsky, Stacey Nicole
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2009
Last updated May 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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