Elena Megan Dietz-Mann, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31152 Issued in MN

Practice address

4344 Nicollet Ave
Minneapolis, MN 55409-2033

Phone

(612) 568-7249

NPI assigned

Mar 1, 2022

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Hill Therapy, LLC

  • Psychologist
  • St Louis Park, MN
  • NPI 1255712238

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1619623576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 LONGFELLOW AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072946",
            "telephone_number": "612-568-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554092033",
            "telephone_number": "612-568-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ-MANN",
        "first_name": "ELENA",
        "middle_name": "MEGAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Dierks
• Athena Marie Diesch-Chham, LICSW
• Natalie Dieterle, PA
• Drew Thomas Dietle, M.D.
• Bobbi Jo Dietrich, CPHT
• Charles Albert Dietz Jr., M.D.
• Erin Dietz, MS
• Kelly Renee Dietz, MD
• Stephanie Ann Dietz, LISCW
• Amy Patricia Digennaro, MFA, MA, ATR, LMFT

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.