Active NPI
Janet Marie Lassen, LCSW
- Clinical Social Worker
- Mobridge, SD
National Provider Identifier
1811230998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-830
- Practice address
- 12451 Hwy 1806 N
Mobridge, SD 57601-5760 - Phone
- (605) 845-7181
- Fax
- (605) 845-5072
- NPI assigned
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-830 | WY | Primary |
Addresses
Primary practice location
12451 Hwy 1806 N
Mobridge, SD 57601-5760
Mailing address
151 W Brundage St
Sheridan, WY 82801-4217
Phone (307) 674-1668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-830 | Other | WY | STATE LICENSURE |
| LCSW-2342 | Other | MT | MONTANA LCSW LICENSE BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-830 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1811230998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W BRUNDAGE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014217",
"telephone_number": "307-674-1668",
"fax_number": "307-674-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12451 HWY 1806 N",
"city": "MOBRIDGE",
"state": "SD",
"postal_code": "576015760",
"telephone_number": "605-845-7181",
"fax_number": "605-845-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSEN",
"first_name": "JANET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2021-06-02",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "LCSW-830",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA LCSW LICENSE BOARD",
"identifier": "LCSW-2342",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.