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Active NPI 1265374664 Individual Practitioner Female Practitioner

Mackenzie Laurion Diessner , MED, LSW, SSW

Social Worker - School • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Mackenzie Diessner, MED, LSW, SSW is a registered healthcare professional specializing in Social Worker - School in Fridley, MN. Practice services are available at 6000 MOORE LAKE DR W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6000 Moore Lake Dr W

Fridley, MN 554325601

Telephone 7635025609
Associated Practice Facility / Clinic
🏢 Fridley Public Schools Facility NPI 1538305578

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - School in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Fridley, MN (201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-07
Social Worker - School Primary Specialty

NUCC Taxonomy Code: 1041S0200X

State License MN 25178

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kelsey Knutson

Social Worker - Clinical

NPI 1265379069
Kelli Larson , MS CCC-SLP

Speech-Language Pathologist

NPI 1518148816

MSCCCSLP

Tara Finnesgard , EDS, NCSP

Psychologist - School

NPI 1629914916
Annie Kline , OTR, L

Occupational Therapist

NPI 1972445856

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 07, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2026

Registered at 6000 MOORE LAKE DR W, FRIDLEY, MN 554325601 (Tel: 7635025609)

📍
Updated Business Mailing Address April 07, 2026

Registered at 6000 MOORE LAKE DR W, FRIDLEY, MN 554325601 (Tel: 7635025609)

👤
Provider Name / Credentials Updated April 07, 2026

Recorded as MACKENZIE DIESSNER, M.ED, LSW, SSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Social Worker (License #25178 in MN)

🟢
Initial NPI Registration & Enumeration April 07, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265374664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2026
Last Update: April 07, 2026
Sole Proprietor: No

Mailing Address

6000 Moore Lake Dr W

Fridley, MN 554325601

Phone: 7635025609

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.