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

Laura Louise Evensen, LICSW

Individual provider Clinical Social Worker · NPI 1104122605

Laura Louise Evensen, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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

4306 Bryant Ave S
Minneapolis, MN 55409-1709
Phone: (952) 649-6826
Fax: (652) 925-0433
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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 19385 (MN)

Record details

NPI number1104122605
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESMay 4, 2018

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