Laura Michelle Groeneweg, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18133 Issued in MN

Practice address

3033 Campus Dr Ste E180
Plymouth, MN 55441-2743

Phone

(524) 609-0869

Fax

(763) 416-0916

NPI assigned

Sep 27, 2023

Last updated

Mar 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Systems PC

  • Psychologist
  • Edina, MN
  • NPI 1497835656
  Medicare reassignment NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1245019330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 4TH AVE S STE 5010",
            "address_2": "PMB 92494",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554153143",
            "telephone_number": "612-208-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 CAMPUS DR STE E180",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412743",
            "telephone_number": "524-609-0869",
            "fax_number": "763-416-0916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Marquis Rd",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554273143",
            "country_code": "US",
            "telephone_number": "763-516-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROENEWEG",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Greeninger, OTR/L
• Gregory D. Liska DDS and Darren E. Hovland DDS, LTD
• Gail T Griffin, MD
• Madia T Grigsby, MA LADC
• Erika Kristine Grinde, PA-C
• Cody Grotewold, MS, ATC, LAT
• Jessica Groth
• Regina Grothaus, RPH
• Group Health Plan Inc (TURCK Well At Work)
• Group Health, Inc. (HealthPartners Plymouth Dental Clinic)

• Clinical Social Worker in Plymouth, MN
• Providers in Plymouth, 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 Mar 3, 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.