Individual provider Active NPI

Susan Laursen, MSW, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1265200141
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33163 Issued in MN
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

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33163MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Wellness LLC Social Worker CurrentSince Dec 24, 2023 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.

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

Verify at the official NPI Registry.