Active NPI
Rebecca Sorenson, MSW
- Clinical Social Worker
- Eagan, MN
National Provider Identifier
1487066221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19882
- Practice address
- 4590 Scott Trail
Eagan, MN 55122 - Phone
- (651) 491-0714
- Fax
- (651) 328-8254
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 19882 | MN | Primary |
Addresses
Primary practice location
4590 Scott Trail
Eagan, MN 55122
Mailing address
1618 B Clemson Dr
Eagan, MN 55122
Phone (651) 491-0714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1487066221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 B CLEMSON DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "55122",
"telephone_number": "651-491-0714",
"fax_number": "651-328-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4590 SCOTT TRAIL",
"city": "EAGAN",
"state": "MN",
"postal_code": "55122",
"telephone_number": "651-491-0714",
"fax_number": "651-328-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "REBECCA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
- Joel Roderick Soma, MD
- Somali Community Action Coalition
- Matt Sommers, PHARMD
- Sonaan Transportation Services LLC
- Peter Taweh Sonpon
- Sound Mind Counseling Chartered
- South Lexington Chiropractic, P.a.
- South Metro Community Services
- South Suburban Psychological & Counseling Services, PLLC
- Southview Autism Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.