Active NPI
Sara Lynn Lassig, MSW, PHD
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1194973958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19224
- Practice address
- 1 Veterans Dr
Minneapolis MN 55417
Minneapolis, MN 55417-2309 - Phone
- (612) 629-7461
- NPI assigned
- Sep 5, 2008
- 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 | 19224 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis MN 55417
Minneapolis, MN 55417-2309
Mailing address
1115 Elway St Apt 412
Saint Paul, MN 55116-3247
Phone (651) 216-6056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13806 | Other | MN | MINNESOTA BOARD OF SOCIAL WORK |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19224 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1194973958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 ELWAY ST APT 412",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163247",
"telephone_number": "651-216-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"address_2": "MINNEAPOLIS MN 55417",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-629-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSIG",
"first_name": "SARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MSW, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF SOCIAL WORK",
"identifier": "13806",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.