MS. LAURA SUSANNE STEGENGA (LICSW) – Clinical Social Worker, NPI 1154756906

MS. LAURA SUSANNE STEGENGA (LICSW) is a healthcare provider. based in Edina, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 18195 (MN). The NPI Number for MS. LAURA SUSANNE STEGENGA (LICSW) is 1154756906

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAURA SUSANNE STEGENGA (LICSW)
NPI
1154756906
Phone
(952) 903-1263
Address
6363 FRANCE AVE S
Enumeration Date
12 September 2013
Last Update Date
12 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0143457473
Group Practice PAC ID
9335288786
Professional Enrollment ID
I20131212000888
Address ID
MN554431814BR9400XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MS. LAURA SUSANNE STEGENGA (LICSW)

  • 6363 FRANCE AVE S

    EDINA, MN 554352129

    Phone: (952) 903-1263

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131212000888IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335288786View full group profile
NameSpecialtyState
Nurse PractitionerMN
P S Y C H I A T R YMN
Nurse PractitionerMN
Mental Health CounselorFL
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. LAURA SUSANNE STEGENGA (LICSW)?
MS. LAURA SUSANNE STEGENGA (LICSW) — NPI 1154756906 — is the standard way to identify this listing.
Is MS. LAURA SUSANNE STEGENGA (LICSW) listed as active for patients and plans?
The listing shows MS. LAURA SUSANNE STEGENGA (LICSW) as active in the NPI system.
What is MS. LAURA SUSANNE STEGENGA (LICSW)'s primary classification?
Clinical Social Worker is the headline specialty for MS. LAURA SUSANNE STEGENGA (LICSW) here. Clinical services aligned with this taxonomy classification.
Does MS. LAURA SUSANNE STEGENGA (LICSW) list a practice location?
Patients near Edina, Minnesota may find MS. LAURA SUSANNE STEGENGA (LICSW) in results; validate coverage separately.
Why does MS. LAURA SUSANNE STEGENGA (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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