Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacey Corneliusen, LICSW, LLC

Organization Clinical Social Worker · NPI 1285064246

Lacey Corneliusen, LICSW, LLC is a Clinical Social Worker in Minot, North Dakota. Licensed in North Dakota. Registered with an NPI since 2013.

Licensed in
ND
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 Main St S Ste 301
Minot, ND 58701-3956
Phone: (406) 939-1976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4558 (ND)

Record details

NPI number1285064246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacey Cornelisen — Therapist · (406) 939-1976
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address1310 2nd St Se, Minot, ND 58701-5912

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