Individual provider Active NPI

Susan Marie Leskela, MSW,LICSW

  • Clinical Social Worker
  • St Paul, MN
National Provider Identifier
1144580655
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4410 Issued in MN
Practice address
45 West 10TH Street
St Paul, MN 55101
Phone
(651) 232-3338
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4410 MN Primary

Addresses

Primary practice location

45 West 10TH Street
St Paul, MN 55101

Mailing address

2885 Knox Ave S
307
Minneapolis, MN 55408-1852
Phone (612) 396-1420

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4410MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1144580655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 KNOX AVE S",
            "address_2": "307",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081852",
            "telephone_number": "612-396-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WEST 10TH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "651-232-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKELA",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MSW,LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.