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

Individual provider Clinical Social Worker · NPI 1073969390

Mrs. Laura Holton Dabruzzi, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Qualified in 2010, 16 years ago. Practices with Vantage Mental Health, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2016
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

659 Bielenberg Dr
Woodbury, MN 55125-1706
Phone: (651) 259-9700
Fax: (651) 259-9780
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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 19131 (MN)

Record details

NPI number1073969390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESNovember 18, 2020
Certification dateNovember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vantage Mental Health — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Woodbury