Provider Demographics
NPI:1427672948
Name:LASKASKIE, MEGAN (LGSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LASKASKIE
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 WEST AVE S
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:54669-1401
Mailing Address - Country:US
Mailing Address - Phone:608-317-5674
Mailing Address - Fax:
Practice Address - Street 1:1410 BUNDY BLVD
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-6300
Practice Address - Country:US
Practice Address - Phone:507-452-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26716104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker