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BENJAMIN DIEFFENBACH MSW, LICSW
NPI 1467809624
Social Worker - Clinical in White Bear Lake, MN

Active since May 18, 2016PECOS Enrolled
2368 JOY AVE, WHITE BEAR LAKE, MN 55110(651) 338-9435 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2024, May 18, 2016 (2 updates tracked since 2016).

About Benjamin Dieffenbach Msw, Licsw NPPES

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

BENJAMIN DIEFFENBACH MSW, LICSW (NPI 1467809624) is an individual clinical provider in White Bear Lake, Minnesota, licensed in Minnesota (22483) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467809624
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN DIEFFENBACHCredential: MSW, LICSW
Location Address2368 JOY AVEWhite Bear Lake, MN 55110-7409
Mailing Address2368 Joy AveWhite Bear Lake, MN 55110-7409 · (651) 338-9435
Phone(651) 338-9435
Sole ProprietorNo
Enumeration DateMay 18, 2016
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1467809624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 22483
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.
2368 JOY AVE, White Bear Lake, MN 55110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Dieffenbach Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Dieffenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
11 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Dieffenbach's NPI number?

The NPI number for Benjamin Dieffenbach is 1467809624. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Benjamin Dieffenbach located?

Benjamin Dieffenbach practices at 2368 Joy Ave, White Bear Lake, MN 55110. The listed phone number is (651) 338-9435.

What is Benjamin Dieffenbach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Benjamin Dieffenbach enrolled in Medicare?

Yes. Benjamin Dieffenbach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Dieffenbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Dieffenbach reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Dieffenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Dieffenbach accept?

Health plans from Medica list Benjamin Dieffenbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Dieffenbach was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.