Terra Sorg, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24846 Issued in MN

Practice address

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

Phone

(612) 205-2668

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Acres for Life Therapy and Wellness CenterGroup PAC ID 3173983038, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terra Sorg LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1740957380
  Medicare reassignment NPD Authorized official
• Acres for Life Therapy & Wellness Center

  • Counselor
  • Chisago City, MN
  • NPI 1053702910
  Medicare reassignment Care Compare group
• Tanglefish Emotional Healing LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1003555046
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1932504685",
    "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": [
        {
            "address_1": "760 Stillwater Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mahtomedi",
            "state": "MN",
            "postal_code": "551152060",
            "country_code": "US",
            "telephone_number": "612-205-2668",
            "fax_number": "651-967-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORG",
        "first_name": "TERRA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023258662",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Alan Sorensen, MD
• Mary Sorensen, L. AC.
• Nicholas James Sorensen, DDS
• Lisa Sorenson-Woodhull, MSW, LCSW
• Roberta Sorenson, LPCC
• Veronica Soria, DPT
• Soriya Grace Academy, LLC
• Beau Sorrell, MSW, LICSW
• Sorum Chiropractic
• Scot L Sorum, D.C.

• 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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.