Individual provider Active NPI

Teresa Saracino, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1891708251
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8763 Issued in MN
Practice address
4316 Upton Ave S Ste 206
Minneapolis, MN 55410-1506
Phone
(612) 655-1065
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 8763 MN Primary

Addresses

Primary practice location

4316 Upton Ave S Ste 206
Minneapolis, MN 55410-1506

Mailing address

4316 Upton Ave S Ste 206
Minneapolis, MN 55410-1506
Phone (612) 655-1065

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
I20070130000057 MN Practitioner - Clinical Social Worker 7315948684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanda Counseling and Psychological ServicesGroup PAC ID 6608192083, 20 clinicians

Practice addresses (Care Compare)

4969 Olson Memorial Hwy
Golden Valley, MN 55422-5138
Phone (763) 575-8086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Saracino MSW Licsw LLC Clinical CurrentSince Nov 24, 2025 Accepting new patients
Vanda Counseling and Psychological Services CurrentSince Jul 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Dec 29, 2006 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Dec 29, 2006 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

4316 Upton Ave S
Ste 206
Minneapolis, MN 55410
Phone (612) 655-1065

4969 Olson Memorial Hwy
Minneapolis, MN 55422
Phone 7635758086 ext. 165

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

Organizations & group practices 9

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1891708251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 UPTON AVE S STE 206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101506",
            "telephone_number": "612-655-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 UPTON AVE S STE 206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101506",
            "telephone_number": "612-655-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACINO",
        "first_name": "TERESA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.