Healthcare Provider Details

I. General information

NPI: 1700701323
Provider Name (Legal Business Name): LAUREN PAGET LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 ALLEN AVE
SAINT PAUL MN
55118-2117
US

IV. Provider business mailing address

1338 ALLEN AVE
SAINT PAUL MN
55118-2117
US

V. Phone/Fax

Practice location:
  • Phone: 701-541-4510
  • Fax:
Mailing address:
  • Phone: 701-541-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27763
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: