AMY IRENE THORSON (MSW, LICSW, LADC) – Clinical Social Worker, NPI 1205175585

AMY IRENE THORSON (MSW, LICSW, LADC) is a healthcare provider. based in Rochester, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW, LADC. They hold a License No. 303509 (MN). The NPI Number for AMY IRENE THORSON (MSW, LICSW, LADC) is 1205175585

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMY IRENE THORSON (MSW, LICSW, LADC)
NPI
1205175585
Phone
(507) 316-1341
Address
1833 16 1/2 ST NW
Enumeration Date
7 February 2013
Last Update Date
8 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528981133
Graduation Year
2019 (7 years ago)
PAC ID
3173057031
Group Practice PAC ID
5890779847
Professional Enrollment ID
I20241114001984
Address ID
MN550448348LA7580XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for AMY IRENE THORSON (MSW, LICSW, LADC)

  • 1833 16 1/2 ST NW

    ROCHESTER, MN 559011647

    Phone: (507) 316-1341

    Type: Mailing

  • 1240 ROBINHOOD LN SE

    OWATONNA, MN 550604600

    Phone: (507) 316-1341

    Type: Location

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: 2024-11-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241114001984IClinical Social WorkerMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 55901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890779847View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
-MN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the standard ID for AMY IRENE THORSON (MSW, LICSW, LADC) in the U.S.?
In the U.S., AMY IRENE THORSON (MSW, LICSW, LADC) is identified by NPI 1205175585.
Should I treat AMY IRENE THORSON (MSW, LICSW, LADC) as an active provider?
Patients and plans typically see AMY IRENE THORSON (MSW, LICSW, LADC) as active in the national extract.
Which specialty label fits AMY IRENE THORSON (MSW, LICSW, LADC)?
NPPES ties AMY IRENE THORSON (MSW, LICSW, LADC) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to AMY IRENE THORSON (MSW, LICSW, LADC)?
The directory associates AMY IRENE THORSON (MSW, LICSW, LADC) with Rochester, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export AMY IRENE THORSON (MSW, LICSW, LADC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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