Individual provider Active NPI

Teresa Movick-Anderson

  • Clinical Social Worker
  • Elk River, MN
National Provider Identifier
1295133288
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21398 Issued in MN
Practice address
907 Main St NW
Elk River, MN 55330-1508
Phone
(763) 274-0510
Fax
(763) 441-3117
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21398 MN Primary

Addresses

Primary practice location

907 Main St NW
Elk River, MN 55330-1508

Mailing address

907 Main St NW
Elk River, MN 55330-1508
Phone (763) 274-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317003447 MN Practitioner - Clinical Social Worker 6103300223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 Central Ave E
Saint Michael, MN 55376-9511

325 Maple Grove Rd
Duluth, MN 55811-4713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21398MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Counseling CurrentSince Jan 20, 2026 Accepting new patients
Joining Hands Creative Counseling & Wellness, LLC Clinical Past Accepting new patients

Locations

209 5th St NE
Ste 3
Buffalo, MN 55313
Phone (763) 220-2312

21151 John Milless Dr
Ste 103B
Rogers, MN 55374
Phone (763) 220-2312

21370 John Milless Dr
Ste 106
Rogers, MN 55374
Phone (612) 615-8923

106 Central Ave E
Saint Michael, MN 55376
Phone (763) 220-2312

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1295133288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301508",
            "telephone_number": "763-274-0510",
            "fax_number": "763-441-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301508",
            "telephone_number": "763-274-0510",
            "fax_number": "763-441-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVICK-ANDERSON",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.