LEIF HOLBROOK SORENSEN (LCSW) – Clinical Social Worker, NPI 1992903561
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
633 CLINICAL SOCIAL WORKER in ID
Provider Addresses for LEIF HOLBROOK SORENSEN (LCSW)
East 4th North, Rexburg, Madison County, Idaho, 83440, United States
SUITE 101
REXBURG, ID 834401712
Phone: (208) 201-1345
Type: Mailing
72 S 1st E Ste 103
Rexburg, ID 834401902
Phone: (208) 356-4900
Fax: (208) 612-6118
Type: Location
335 E MAIN ST STE 3
SAINT ANTHONY, ID 834451546
Phone: (208) 356-4900
Fax: (208) 624-4030
Type: Location
PO BOX 18
SAINT ANTHONY, ID 834450018
Phone: (208) 356-4900
Fax: (208) 624-4030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130521000022 | I | Clinical Social Worker | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| General Practice | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Nurse Practitioner | ID |
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