Terra Sorg LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TERRA SORG LLC

Doing business as

Terra Sorg Mental Health

Practice address

821 Raymond Ave Ste 300
Saint Paul, MN 55114-1525

Phone

(612) 205-2668

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Terra Sorg, MSW, LICSWNPI 1932504685

Title

Owner

Phone

(612) 205-2668

Specialties & licenses 1

Addresses

Other names 1

• Terra Sorg Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terra Sorg, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1932504685
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709424000000",
    "number": "1740957380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 161ST LN NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045908",
            "telephone_number": "612-205-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "612-205-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA SORG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "SORG",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-205-2668",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Sorg Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terra Sorg Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce Jacqueline Terhorst, MA, LMFT, LADC
• Nicole Rochelle Terlouw, LICSW
• Christine L Ternand, MD
• Lexi Mae Ternes, RN
• Terra Firma Wellness
• Charles George Terzian, MD
• Dawit Kahsai Tesfagiorgis, RN
• Asmeret Tesfahun, DDS
• Omega Tesfamariam
• Daniel Tesfaye

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, 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 Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.