Active NPI
Susan Marie Leskela, MSW,LICSW
- Clinical Social Worker
- St Paul, MN
National Provider Identifier
1144580655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4410
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4410 | MN | MD | Clinical 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.