PEGGY SORENSEN (LICSW) – Clinical Social Worker, NPI 1245656909

PEGGY SORENSEN (LICSW) is a healthcare provider. based in Saint peter, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 18052 (MN). The NPI Number for PEGGY SORENSEN (LICSW) is 1245656909

Main info

Female
17 Years Of Experience
Name
PEGGY SORENSEN (LICSW)
NPI
1245656909
Phone
(507) 931-8040
Address
1306 MARSHALL ST
Enumeration Date
5 March 2014
Last Update Date
5 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5079318040
Graduation Year
2009 (17 years ago)
PAC ID
1850677295
Group Practice PAC ID
5890696868
Professional Enrollment ID
I20170420002652
Address ID
MN560824500SA1306XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for PEGGY SORENSEN (LICSW)

  • 1306 MARSHALL ST

    SAINT PETER, MN 560824500

    Phone: (507) 931-8040

    Fax: (507) 931-8060

    Mailing address matches the actual address.

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: 2017-04-20

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
I20170420002652IClinical 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 56082)

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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: 5890696868View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What federal number belongs to PEGGY SORENSEN (LICSW)?
The federal identifier for PEGGY SORENSEN (LICSW) is NPI 1245656909.
Does this profile mean PEGGY SORENSEN (LICSW) is currently active?
Yes — PEGGY SORENSEN (LICSW) appears active in the national provider directory.
What kind of provider is PEGGY SORENSEN (LICSW)?
The page reflects Clinical Social Worker for PEGGY SORENSEN (LICSW). Clinical services aligned with this taxonomy classification.
Where is PEGGY SORENSEN (LICSW)'s primary listing?
We display Saint Peter, Minnesota because that is what the record indicates for PEGGY SORENSEN (LICSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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