Individual provider Active NPI

Jena J Laakso, LICSW

  • Clinical Social Worker
  • Deer River, MN
National Provider Identifier
1295535573
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31570 Issued in MN
Practice address
313 Main Ave E
Deer River, MN 56636-8733
Phone
(218) 244-9459
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 31570 MN Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250611001052 MN Practitioner - Clinical Social Worker 1951811694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31570MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Homes, Inc. CurrentSince May 1, 2025 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) 999-9908

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

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1295535573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN AVE E",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566368733",
            "telephone_number": "218-244-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN AVE E",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566368733",
            "telephone_number": "218-244-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAKSO",
        "first_name": "JENA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer River, MN

Sources for this page

Verify at the official NPI Registry.