Ann Teresa Strom, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25580 Issued in MN

Practice address

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363

Phone

(763) 746-2425

Fax

(763) 746-2401

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ann Teresa Laliberte Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1194377044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 109",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274363",
            "telephone_number": "763-746-2425",
            "fax_number": "763-746-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 109",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274363",
            "telephone_number": "763-746-2425",
            "fax_number": "763-746-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "ANN",
        "middle_name": "TERESA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.strom@headway.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "701 Decatur Ave N Ste 109",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554274363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "LALIBERTE",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mara Marie Stommes, MA
• Erin Catherine Stoneking, APRN, CNP
• Sandra Ruth Streitman, PHD, LP
• Jennifer L Strick, LICSW
• Frederick Thomas Strobl, M.D.
• Nancy Strong, RN, AGNP
• Gary Edward Stucky, MA/LP
• Jessica Lauren Stulc, MD
• Sienneh Subah
• Summit Home Health Care, Inc.

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.