MS. CYNDIE DERIDDER LICSW
NPI 1992047914
Social Worker - Clinical in Elk River, MN

Active since March 18, 2013
19021 FREEPORT ST NW, SUITE 400, ELK RIVER, MN 55330(763) 633-3800(763) 633-3808 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Cyndie Deridder Licsw NPPES

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

MS. CYNDIE DERIDDER LICSW (NPI 1992047914) is an individual clinical provider in Elk River, Minnesota, licensed in Minnesota (16288) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1992047914
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CYNDIE DERIDDERCredential: LICSW
Location Address19021 FREEPORT ST NW, SUITE 400Elk River, MN 55330-1278
Mailing Address19021 Freeport St Nw, Suite 400Elk River, MN 55330-1278 · (763) 633-3800 · Fax (763) 633-3808
Fax(763) 633-3808
Sole ProprietorNo
Enumeration DateMarch 18, 2013
NPI 1992047914 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 · 16288
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.
19021 FREEPORT ST NW, Elk River, MN 55330

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
19021 FREEPORT ST NW
ELK RIVER, MN 55330
Marriage & Family Therapist
19021 FREEPORT ST NW, SUITE 500
ELK RIVER, MN 55330
Physician Assistant
19021 FREEPORT ST NW, SUITE 100
ELK RIVER, MN 55330
Speech-Language Pathologist
19021 FREEPORT ST NW
ELK RIVER, MN 55330
Home Health
19021 FREEPORT ST NW, SUITE 400
ELK RIVER, MN 55330

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 Cyndie Deridder's NPI number?

The NPI number for Cyndie Deridder is 1992047914. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Cyndie Deridder located?

Cyndie Deridder practices at 19021 Freeport St NW Suite 400, Elk River, MN 55330. The listed phone number is (763) 633-3800.

What is Cyndie Deridder's specialty?

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

When was this NPI record last updated?

The NPPES record for Cyndie Deridder was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.