Individual provider Active NPI

Karen M Leslie, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1306839170
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13686 Issued in MN
Practice address
7575 Golden Valley Rd
Suite 230
Golden Valley, MN 55427-4562
Phone
(763) 525-8590
Fax
(763) 525-8592
NPI assigned
Aug 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 13686 MN Primary

Addresses

Primary practice location

7575 Golden Valley Rd
Suite 230
Golden Valley, MN 55427-4562

Mailing address

7575 Golden Valley Rd
Suite 230
Golden Valley, MN 55427-4562
Phone (763) 525-8590

Other identifiers 1

IdentifierTypeStateIssuer
526822200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13686MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306839170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526822200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.