Active NPI
Alan J O'Malley-Laursen, MSW, LICSW
- Clinical Social Worker
- Owatonna, MN
National Provider Identifier
1023191731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01102
- Practice address
- 610 Florence Ave
Owatonna, MN 55060-4704 - Phone
- (507) 451-2630
- Fax
- (507) 455-8133
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01102 | MN | Primary |
Addresses
Primary practice location
610 Florence Ave
Owatonna, MN 55060-4704
Mailing address
610 Florence Ave
Owatonna, MN 55060-4704
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-20362 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 68543OM | Other | MN | BLUE CROSS BLUE SHIELD |
| 118033 | Other | MN | UCARE |
| HP20275 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01102 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1023191731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 FLORENCE AVE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 FLORENCE AVE",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604704",
"telephone_number": "507-451-2630",
"fax_number": "507-455-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY-LAURSEN",
"first_name": "ALAN",
"middle_name": "J",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "01102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-20362",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "68543OM",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "118033",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP20275",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.