Organization Active NPI

Laura Hansen, MSW, Licsw Counseling Services, Inc.

  • Clinical Social Worker
  • Bemidji, MN
National Provider Identifier
1831560424
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3964 Issued in MN
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

Updated by the provider on Oct 8, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.