Lauren Marie Simensen, LICSW
Individual provider Active NPI Clinical Social Worker · Maple Grove, MN
NPI 1366968281 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366968281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 23825 (MN)
- Practice address
- 11280 86TH Ave N
Maple Grove, MN 55369 - Phone
- (763) 400-7828
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crescent Moon Counseling
Practice addresses (Care Compare)
1817 Hwy 53
Cook, MN 55723-8173
Phone (610) 507-0051
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.93 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
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 |
|---|---|---|---|---|
| I20171106000678 | MN | Practitioner - Clinical Social Worker | 0749546919 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23825 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott M Yarosh, LLC | Current |
Accepting new patients | |
| Crescent Moon Counseling | Clinical | Current |
Accepting new patients |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Healthwise Psychology, PA | Clinical | Current |
Accepting new patients |
| Range Regional Health Services | Current | Accepting new patients |
Locations
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
820 9th St N
Virginia, MN 55792
Phone (218) 248-2402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23825 | MN | Yes |
Addresses
Primary practice location
11280 86TH Ave N
Maple Grove, MN 55369
Mailing address
11280 86TH Ave N
Maple Grove, MN 55369-4510
Phone (763) 400-7828
Other practice location 1
3450 OLeary Ln
Eagan, MN 55123-2340
Phone (651) 365-8278
Other practice location 2
3450 OLeary Ln
Eagan, MN 55123-2340
Phone (651) 365-8278
Other practice location 3
15160 Foliage Ave Ste 140
Apple Valley, MN 55124-5916
Phone (651) 365-8278
Other providers in Maple Grove, MN
- Anastasiya Shtulman
- Barbara Jean Sieracki
- Michael Paul Sievert
- Krista Lynn Siewert
- Silver Spring Services LLC
- Rachel Ann Simmer
- Kelly Simon
- Calli Simpson
- Riley C Simpson
- Janice M Sinclair
All providers in Maple Grove, 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 Jul 21, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.