Individual provider · Type 1 NPI

Laura Jo Koletar, LICSW

Clinical Social Worker · Burnsville, MN

NPI number 1013712694 Active

Practice location

1609 County Road 42 W Ste 309
Burnsville, MN 55306-6213

Other practice locations

  • 5555 Boone Ave N, New Hope, MN 55428-3636 · (651) 774-0011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30081 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

2 other providers at this address

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About NPI 1013712694

Laura Jo Koletar, LICSW's National Provider Identifier is 1013712694, issued on Feb 17, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burnsville, MN. The record was last updated on May 12, 2025.