Individual provider Active NPI

Amanda Christine Stappler, LICSW

  • Clinical Social Worker
  • Maple Grove, MN
National Provider Identifier
1629615976
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21627 Issued in MN
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

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526001980 MN Practitioner - Clinical Social Worker 4183023005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21627MNMDClinical Social Worker
BBH-LCSW-LIC-39134MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Clinical CurrentSince Oct 16, 2023 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
West Central Counseling LLC Clinical PastSince Jun 6, 2021 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.

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

Verify at the official NPI Registry.