Shirlee Corrine Lansing, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0728 Issued in MN

Practice address

16201 90TH St NE, Suite 200
Nystrom & Associates, LTD.
Otsego, MN 55330

Phone

(763) 746-9492

Fax

(763) 746-3685

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Family Support Services Inc.

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1114083029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "address_2": "SUITE 110",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786",
            "telephone_number": "651-628-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 90TH ST NE, SUITE 200",
            "address_2": "NYSTROM & ASSOCIATES, LTD.",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "55330",
            "telephone_number": "763-746-9492",
            "fax_number": "763-746-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSING",
        "first_name": "SHIRLEE",
        "middle_name": "CORRINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "0728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361219800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Krautbauer, DPT
• Jennifer Krebs
• Kendra Kruger
• Belinda M Kubri
• Emily Kyle, OD
• Jolene Marie Carlson Law, M.S., CF-SLP
• Caitlin Lawrence
• Carrie Lebarron, MS, PHD
• Hailee Alexis Leipzig
• Amanda Lemire

• Clinical Social Worker in Otsego, MN
• Providers in Otsego, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.