Active NPI
Teresa Movick-Anderson
- Clinical Social Worker
- Elk River, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21398
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21398 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Family Counseling | Current | 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.
-
- Community/Behavioral Health Agency
- Saint Michael, MN
- NPI 1396275004
-
- Clinical Social Worker
- Elk River, MN
- NPI 1295101996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.