Jena J Laakso, LICSW
Individual provider Active NPI Clinical Social Worker · Deer River, MN
NPI 1295535573 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1295535573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 31570 (MN)
- Practice address
- 313 Main Ave E
Deer River, MN 56636-8733 - Phone
- (218) 244-9459
- NPI assigned
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611001052 | MN | Practitioner - Clinical Social Worker | 1951811694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31570 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Homes, Inc | Current |
Accepting new patients |
Locations
303 SE 1st St
Grand Rapids, MN 55744
Phone (218) 326-0349
413 SE 13th St
Grand Rapids, MN 55744
Phone (218) 327-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31570 | MN | Yes |
Addresses
Primary practice location
313 Main Ave E
Deer River, MN 56636-8733
Mailing address
313 Main Ave E
Deer River, MN 56636-8733
Phone (218) 244-9459
Other providers in Deer River, MN
- Independent School District No 317
- Susan M Jewett
- Jackie Lynn Jordan
- Dianna Mae Kachinske
- Shana Kathlyn Kongsjord
- Lindsay M Leemann
- Judy Louise Lemieux
- Jared Evan Lund
- Jan M Monley
- Casey Morris
All providers in Deer River, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.