Susan Rae Pacyga, LICSW LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6837-123 Issued in WI

Practice address

17305 Cedar Ave South
Suite 230
Lakeville, MN 55044

Phone

(952) 435-4144

Fax

(952) 435-4149

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Burnsville Counseling & Healing Center

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1518963750
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831261742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 SUMAC WAY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "613-330-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17305 CEDAR AVE SOUTH",
            "address_2": "SUITE 230",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-435-4144",
            "fax_number": "952-435-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACYGA",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "credential": "LICSW LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "06673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6837-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "0648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "552GPA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthotic Care Services, LLC
• Abdul Hafid Osman
• Katelyn R Ottum, LPC
• Alexis Patricia Ouradnik- Smith
• Cristina Pacheco
• Marcus C Padilla
• Sara Joanne Pahl, BCBA, LPCC
• Shujin Pang
• Panoramic Perspectives Therapy and Training, PA
• Park Nicollet Health Care Products

• Clinical Social Worker in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.