Catherine Ann Sorensen Sr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05744 Issued in MN

Practice address

722 15TH St NW
Bemidji, MN 56601-2528

Phone

(218) 751-3280

Fax

(218) 751-3298

NPI assigned

May 29, 2008

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 names 1

• Catherine Ann Blazer (Heatherman) Former name

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1245498807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566190640",
            "telephone_number": "218-751-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012528",
            "telephone_number": "218-751-3280",
            "fax_number": "218-751-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "05744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BLAZER (HEATHERMAN)",
            "middle_name": "ANN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Marie Smith, MPAS, PA-C
• Steven Smith, LCSW
• Candace Snodgrass, PHD
• Hani Snounou, M.D
• Rebecca Bengtson Snyder, M.S.W.
• Ivar Sorenson, DC
• Speech Place LLC
• Angela Jean Splettstoeszer, APRN
• Jerrod Douglas Spring, MD
• State of Minnesota - Minnesota Management and Budget

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, 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 May 29, 2008; 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.