Active NPI
Laura Hansen, MSW, Licsw Counseling Services, Inc.
- Clinical Social Worker
- Bemidji, MN
National Provider Identifier
1831560424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3964
- Legal business name
- LAURA HANSEN, MSW, LICSW COUNSELING SERVICES, INC.
- Practice address
- 403 4TH Street NE
Suite 110
Bemidji, MN 56601 - Phone
- (218) 556-3209
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Margaret Hansen, MSW, LICSW
- Title
- Mental Health Therapist/ Clinician
- Phone
- (218) 556-3209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3964 | MN | Primary |
Addresses
Primary practice location
403 4TH Street NE
Suite 110
Bemidji, MN 56601
Mailing address
3414 Hansen CT NW
Bemidji, MN 56601-4191
Phone (218) 556-3209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1831560424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 HANSEN CT NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566014191",
"telephone_number": "218-556-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 4TH STREET NE",
"address_2": "SUITE 110",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "56601",
"telephone_number": "218-556-3209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA HANSEN, MSW, LICSW COUNSELING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/ CLINICIAN",
"authorized_official_telephone_number": "218-556-3209",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "3964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.