Organization Active NPI

Laski Mental Wellness & Counseling, LLC

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1003341801
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18622 Issued in MN
Legal business name
LASKI MENTAL WELLNESS & COUNSELING, LLC
Practice address
7101 York Ave S Ste 145
Edina, MN 55435-4484
Phone
(612) 202-0535
Fax
(763) 999-6107
NPI assigned
Apr 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Sandra Jane Laski, DSW, M.ED., LICSW, LNPI 1154624245
Title
Owner
Phone
(612) 202-0535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 18622 MN Primary

Addresses

Primary practice location

7101 York Ave S Ste 145
Edina, MN 55435-4484

Mailing address

2867 James Ave S Apt 4
Minneapolis, MN 55408-1890
Phone (612) 202-0535

Other practice location 1

7101 York Ave S Ste 345
Edina, MN 55435-4409
Phone (612) 202-0535

Other practice location 2

3621 85th Ave N Ste 106
Brooklyn Park, MN 55443-1931
Phone (612) 202-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117000087 MN Part B Supplier - Clinic/Group Practice 8123387354 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

8525 Edinbrook Xing
Ste 214
Brooklyn Park, MN 55443
Phone (612) 202-0535

7101 York Ave S
Ste 345
Edina, MN 55435
Phone (612) 202-0535

7101 York Ave S
Ste 145
Edina, MN 55435
Phone (612) 202-0535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1003341801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 JAMES AVE S APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081890",
            "telephone_number": "612-202-0535",
            "fax_number": "612-224-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354484",
            "telephone_number": "612-202-0535",
            "fax_number": "763-999-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 York Ave S Ste 345",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354409",
            "country_code": "US",
            "telephone_number": "612-202-0535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3621 85th Ave N Ste 106",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554431931",
            "country_code": "US",
            "telephone_number": "612-202-0535",
            "fax_number": "763-999-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LASKI MENTAL WELLNESS & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "LASKI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-202-0535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, M.ED., LICSW, L"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.