Active NPI
Amanda Christine Stappler, LICSW
- Clinical Social Worker
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21627
- Practice address
- 9325 Upland LN N Ste 210
Maple Grove, MN 55369-5777 - Phone
- (612) 915-0049
- Fax
- (651) 925-0041
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21627 | MN | Primary |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-39134 | MT |
Addresses
Primary practice location
9325 Upland LN N Ste 210
Maple Grove, MN 55369-5777
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
5050 Lincoln Dr Ste 350
Edina, MN 55436-1178
Phone (612) 871-1454
Other practice location 2
701 Dellwood St S
Cambridge, MN 55008-1920
Phone (763) 689-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21627 | MN | MD | Clinical Social Worker |
| BBH-LCSW-LIC-39134 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Clinical | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| West Central Counseling LLC | Clinical | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
9325 Upland Ln N
Ste 210
Maple Grove, MN 55369
Phone (612) 453-4966
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1629615976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 UPLAND LN N STE 210",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695777",
"telephone_number": "612-915-0049",
"fax_number": "651-925-0041"
}
],
"practiceLocations": [
{
"address_1": "5050 Lincoln Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554361178",
"country_code": "US",
"telephone_number": "612-871-1454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Dellwood St S",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MN",
"postal_code": "550081920",
"country_code": "US",
"telephone_number": "763-689-8700",
"fax_number": "763-688-7941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPPLER",
"first_name": "AMANDA",
"middle_name": "CHRISTINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "21627",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-39134",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.