JOCLYN MALLIET TIEDT MSW, LICSW
NPI 1265150247
Social Worker - Clinical in Minneapolis, MN

Active since August 16, 2022
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joclyn Malliet Tiedt Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOCLYN MALLIET TIEDT MSW, LICSW (NPI 1265150247) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (27222) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1265150247
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOCLYN MALLIET TIEDTCredential: MSW, LICSW
Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
NPI 1265150247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 27222
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 509593 (MN)
4027 COUNTY ROAD 25, Minneapolis, MN 55416

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Clinic/Center (Mental Health (Including Community Mental Health Center))
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265150247, enumerated as an "individual" on August 16, 2022.

The provider is located at 4027 COUNTY ROAD 25 MINNEAPOLIS, MN 55416 and the phone number is (612) 925-6033.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.