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

Individual provider Clinical Social Worker · NPI 1255093258

Mrs. Laura Jane Mortenson, LICSW is a Clinical Social Worker in Roseville, Minnesota. Qualified in 2004, 22 years ago. Practices with Vantage Mental Health, a 26-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2021
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

2680 Snelling Ave N Ste 200
Roseville, MN 55113-1879
Phone: (651) 364-9381
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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 17010 (MN)

Record details

NPI number1255093258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 7, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Vantage Mental Health — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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