Individual provider Active NPI

Laura Zielinski, MSW, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1801148366
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20281 Issued in MN
Practice address
11708 Wayzata Blvd
Minnetonka, MN 55305-2014
Phone
(952) 544-0964
Fax
(952) 544-6405
NPI assigned
Oct 9, 2012
Last updated
Sep 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20281 MN Primary
Clinical Social Worker 1041C0700X 149.015717 IL

Addresses

Primary practice location

11708 Wayzata Blvd
Minnetonka, MN 55305-2014

Mailing address

3732 45TH Ave S
Minneapolis, MN 55406-2911
Phone (612) 360-3197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210628000965 IA Practitioner - Clinical Social Worker 8729212477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services of Howard CountyGroup PAC ID 1153238977, shared by 10 NPIs, 27 clinicians
Northeast Iowa Mental Health CenterGroup PAC ID 1355230475, 9 clinicians

Practice addresses (Care Compare)

321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021

905 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015717ILMDClinical Social Worker
20281MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Iowa Mental Health Center CurrentSince May 27, 2021 Accepting new patients
United Community Services, Inc. PastSince May 27, 2021 Accepting new patients
Family Connections Counseling Center, Inc. PastSince Jun 1, 2017 Accepting new patients

Locations

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774

Organizations & group practices 3

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1801148366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 45TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062911",
            "telephone_number": "612-360-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052014",
            "telephone_number": "952-544-0964",
            "fax_number": "952-544-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "LAURA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20281",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.