Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN GRACE IVESTER TETRAULT MSW, LICSW
NPI 1871285585
Social Worker - Clinical in Minneapolis, MN

Q: What is Lauren Ivester Tetrault's NPI number?

The NPI number for Lauren Ivester Tetrault is 1871285585. It was assigned to this individual provider in the NPPES registry on May 22, 2023. The provider is also known as Lauren Ivester.

Q: What is Lauren Ivester Tetrault's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 22, 2023PECOS Enrolled

310 CLIFTON AVE, MINNEAPOLIS, MN 55403(612) 223-8898 Get Directions Write a Review

NPPES record last updated: September 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2026, May 22, 2023 (2 updates tracked since 2023).

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About Lauren Grace Ivester Tetrault Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN GRACE IVESTER TETRAULT MSW, LICSW (NPI 1871285585) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (33540) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871285585

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLAUREN GRACE IVESTER TETRAULTCredential: MSW, LICSW

Location Address310 CLIFTON AVEMinneapolis, MN 55403-3218

Mailing Address310 Clifton AveMinneapolis, MN 55403-3218 · (612) 223-8898

Phone(612) 223-8898

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateSeptember 7, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2026

✔ NPI 1871285585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 33540

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

310 CLIFTON AVE, Minneapolis, MN 55403

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Other Names 1

Former Name (1)Lauren Ivester

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Grace Ivester Tetrault Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET NIMOCKS CHAMPINE MA

Counselor (Professional)