Individual provider Active NPI

Stephen E Lansing, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1407957020
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8120 Issued in MN
Practice address
1027 7TH St NW Ste 200
Rochester, MN 55901-2666
Phone
(507) 254-7682
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 8120 MN Primary

Addresses

Primary practice location

1027 7TH St NW Ste 200
Rochester, MN 55901-2666

Mailing address

1027 7TH St NW Ste 200
Rochester, MN 55901-2666
Phone (507) 254-7682

Other practice location 1

3718 3rd Pl NW
Rochester, MN 55901-8442
Phone (507) 254-7682

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
I20180504000018 MN Practitioner - Clinical Social Worker 6901169580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8120MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1407957020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-254-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 7TH ST NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012666",
            "telephone_number": "507-254-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3718 3rd Pl NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559018442",
            "country_code": "US",
            "telephone_number": "507-254-7682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANSING",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.