Individual provider Active NPI

Martha Louise Sorenson, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1861929762
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20706 Issued in MN
Practice address
3802 Longfellow Ave
Minneapolis, MN 55407-5269
Phone
(507) 327-1132
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 20706 MN Primary

Addresses

Primary practice location

3802 Longfellow Ave
Minneapolis, MN 55407-5269

Mailing address

4240 Park Glen Rd
St Louis Park, MN 55416-4758
Phone (612) 925-6033

Other practice location 1

2120 Park Ave
Minneapolis, MN 55404-3378
Phone (612) 872-2000 ext. 2020

Other practice location 2

1155 Ford Rd Ste B
St Louis Park, MN 55426-1115
Phone (952) 378-1800

Other practice location 3

4240 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 925-6033

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
I20170712004042 MN Practitioner - Clinical Social Worker 9234408865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3802 Longfellow Ave
Minneapolis, MN 55407-5269
Phone (507) 327-1132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20706MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Lake Consultation Group,PLLC CurrentSince Jul 10, 2018 Accepting new patients
Healing Perspectives PLLC CurrentSince Sep 27, 2022 Accepting new patients

Locations

1155 Ford Rd
Ste B
St Louis Park, MN 55426
Phone (952) 378-1800

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1861929762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164758",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 LONGFELLOW AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075269",
            "telephone_number": "507-327-1132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043378",
            "country_code": "US",
            "telephone_number": "612-872-2000 x2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Ford Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554261115",
            "country_code": "US",
            "telephone_number": "952-378-1800",
            "fax_number": "952-378-1714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Park Glen Rd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "55416",
            "country_code": "US",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.