Laura Susan Zajkowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014298 Issued in IL

Practice address

W69N410 Foxpointe Ave
Cedarburg, WI 53012-2230

Phone

(847) 791-1782

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Evergreen Counseling, LLC

  • Mental Health Counselor
  • Cedarburg, WI
  • NPI 1265250948
  NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1013497122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W69N410 FOXPOINTE AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122230",
            "telephone_number": "847-791-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W69N410 FOXPOINTE AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122230",
            "telephone_number": "847-791-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJKOWSKI",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin CVS Pharmacy LLC
• Marietta Magdalena Wojtecka
• Rebekah Lynn Wolff
• Jennifer L Wooten, OTR
• Lyndsay Young
• Wendy Sue Zeller, CICSW
• Zachary John Zills

• Clinical Social Worker in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.