Laura Mennenga
Individual provider Active NPI Clinical Social Worker · Fargo, ND
NPI 1174488035 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1174488035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6449 (ND)
- Practice address
- 1711 University Dr S
Fargo, ND 58103-4939 - Phone
- (701) 417-5500
- NPI assigned
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6449 | ND | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6449 | ND | Yes |
Addresses
Primary practice location
1711 University Dr S
Fargo, ND 58103-4939
Mailing address
7252 26TH St S
Fargo, ND 58104-7917
Phone (701) 417-5500
NPI Registry JSON
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1174488035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7252 26TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047917",
"telephone_number": "701-417-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034939",
"telephone_number": "701-417-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNENGA",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "6449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
- Melinda Harr, DDS, PC
- Gary Douglas Mellum
- Stephanie Janine Melquist
- Dyan P Melton
- Daniel Lawrence Mengedoth
- Dennis Nana Asah Mensah
- Teta Elaine Mensah
- Janelle Mercado
- Mai Mardea Merchant
- Adel Mergoum
All providers in Fargo, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.