Laura Gardner, LICSW
Individual provider Active NPI Clinical Social Worker · Kasson, MN
NPI 1124780978 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1124780978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 307 S Mantorville Ave
Kasson, MN 55944-1258 - Phone
- (507) 446-0431
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Fernbrook Family Center Inc
Practice addresses (Care Compare)
307 S Mantorville Ave
Kasson, MN 55944-1258
Phone (507) 634-4690
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727000239 | MN | Practitioner - Clinical Social Worker | 8022479880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernbrook Family Center, Inc | Current |
Accepting new patients | |
| Fernbrook Family Center | Past | Accepting new patients |
Locations
307 S Mantorville Ave
Kasson, MN 55944
Phone (507) 634-4690
2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
307 S Mantorville Ave
Kasson, MN 55944-1258
Mailing address
2575 Harvest LN
Owatonna, MN 55060-4305
Phone (507) 446-0431
Other providers in Kasson, MN
- Elmore Family Chiropractic Inc
- Katie Louise Aune Elmore
- Rebecca Katherine Engdahl
- Full Circle Wellness & Birthcenter LLC
- Full Circle Wellness & Birthcenter LLC
- Shannon Ruby Gillard
- Breeanna Lynn Goetz
- Carla Sue Hamand
- Madisen Dawn Hass
- Heather Hindal
All providers in Kasson, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.