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

Individual provider Clinical Social Worker · NPI 1013712694

Laura Jo Koletar, LICSW is a Clinical Social Worker in Burnsville, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1609 County Road 42 W Ste 309
Burnsville, MN 55306-6213
Phone: (952) 808-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 30081 (MN)

Record details

NPI number1013712694
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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