Provider Demographics
NPI:1801148366
Name:ZIELINSKI, LAURA (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3732 45TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2911
Mailing Address - Country:US
Mailing Address - Phone:612-360-3197
Mailing Address - Fax:
Practice Address - Street 1:11708 WAYZATA BLVD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-2014
Practice Address - Country:US
Practice Address - Phone:952-544-0964
Practice Address - Fax:952-544-6405
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202811041C0700X
IL149.0157171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical