Individual provider Active NPI

Sophia Thoen, LICSW

  • Clinical Social Worker
  • St Louis Park, MN
National Provider Identifier
1700633427
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27992 Issued in MN
Practice address
4810 Highway 7 Apt 206
St Louis Park, MN 55416-2247
Phone
(507) 440-6247
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 27992 MN Primary

Addresses

Primary practice location

4810 Highway 7 Apt 206
St Louis Park, MN 55416-2247

Mailing address

4810 Highway 7 Apt 206
St Louis Park, MN 55416-2247
Phone (507) 440-6247

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
I20241104002490 MN Practitioner - Clinical Social Worker 7113450743 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27992MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canvas Health, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Thoen Collective LLC Clinical Current Accepting new patients

Locations

10077 Dogwood St NW
Ste 200
Coon Rapids, MN 55448
Phone (763) 489-7122

7066 Stillwater Blvd N
Saint Paul, MN 55128

Organizations & group practices 3

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1700633427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 HIGHWAY 7 APT 206",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162247",
            "telephone_number": "507-440-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 HIGHWAY 7 APT 206",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162247",
            "telephone_number": "507-440-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOEN",
        "first_name": "SOPHIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.