Active NPI
Susan Laursen, MSW, LICSW
- Clinical Social Worker
- Edina, MN
National Provider Identifier
1265200141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33163
- Practice address
- 7201 Metro Blvd Ste 550
Edina, MN 55439-1353 - Phone
- (952) 491-6437
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 33163 | MN | Primary |
Addresses
Primary practice location
7201 Metro Blvd Ste 550
Edina, MN 55439-1353
Mailing address
4236 Jarmann LN
Shakopee, MN 55379-5814
Phone (612) 208-3427
Other practice location 1
4236 Jarmann Ln
Shakopee, MN 55379-5814
Phone (612) 208-3427
Other names 1
- Susy Laursen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33163 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Wellness LLC | Social Worker | Current | Accepting new patients |
Locations
408 3rd St
Ste 107
Farmington, MN 55024
Phone (507) 649-2507
Organizations & group practices 1
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.
-
- Social Worker
- Farmington, MN
- NPI 1780389189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1265200141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 JARMANN LN",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553795814",
"telephone_number": "612-208-3427",
"fax_number": "612-238-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 METRO BLVD STE 550",
"city": "EDINA",
"state": "MN",
"postal_code": "554391353",
"telephone_number": "952-491-6437"
}
],
"practiceLocations": [
{
"address_1": "4236 Jarmann Ln",
"address_purpose": "LOCATION",
"city": "Shakopee",
"state": "MN",
"postal_code": "553795814",
"country_code": "US",
"telephone_number": "612-208-3427",
"fax_number": "612-238-4320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURSEN",
"first_name": "SUSAN",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "33163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSY",
"last_name": "LAURSEN",
"credential": "MSW, LICSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.