Sandra Jane Laski, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18622 Issued in MN

Practice address

2867 James Ave S. Suite 4
305
Minneapolis, MN 55408-5540

Phone

(612) 202-0535

NPI assigned

Dec 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Laski Mental Wellness & Counseling, LLC

  • Clinical Social Worker
  • Edina, MN
  • NPI 1003341801
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1154624245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 JAMES AVE S APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081890",
            "telephone_number": "612-202-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 JAMES AVE S. SUITE 4",
            "address_2": "305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085540",
            "telephone_number": "612-202-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2867 James Ave S Apt 4",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554081890",
            "country_code": "US",
            "telephone_number": "612-202-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASKI",
        "first_name": "SANDRA",
        "middle_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Brandon Lasege, MD
• Robert Howard Lasher
• Alyssa Lashway-Schrom, DPT
• Richard Laska, MSW
• Joan Lynn Laskey, RN
• Kirsten Lasley, DO
• Michelle M Lason, PTA
• Madeline Claire Lasorsa, MSW, LICSW
• Colleen Elizabeth Lasota, LAC
• Amy Anne Donatelli Lassig, MD

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.