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SOPHIE TOMSKY MSW LICSW
NPI 1649147018
Social Worker - Clinical in Duluth, MN

Active since October 21, 2025PECOS Enrolled
1003 E CENTRAL ENTRANCE, DULUTH, MN 55811(218) 208-0019 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sophie Tomsky Msw Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIE TOMSKY MSW LICSW (NPI 1649147018) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (32342) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649147018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOPHIE TOMSKYCredential: MSW LICSW
Location Address1003 E CENTRAL ENTRANCEDuluth, MN 55811-5501
Mailing Address4200 Ne Van RdDuluth, MN 55803-9358
Phone(218) 208-0019
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1649147018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 32342
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1003 E CENTRAL ENTRANCE, Duluth, MN 55811
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Tomsky Msw Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981195831
PECOS Enrollment IDI20251118004011
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophie Tomsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psych North PLLC
4.4 mi
Psychiatric/Mental Health
4628 MIKE COLALILLO DR
Duluth, MN 55807
  • Reassigned Medicare billing, Minnesota enrollment
  • 17 clinicians in this Medicare group
NPI 1760136964 (218) 209-2150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE N JOHNSON APRN, CRNA, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1003 E CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 209-2150
KETAMINE NORTH
Clinic/Center (Infusion Therapy)
1003 E CENTRAL ENTRANCE
DULUTH, MN 55811
St. Louis County (218) 209-2150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophie Tomsky's NPI number?

The NPI number for Sophie Tomsky is 1649147018. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Sophie Tomsky located?

Sophie Tomsky practices at 1003 E Central Entrance, Duluth, MN 55811. The listed phone number is (218) 208-0019.

What is Sophie Tomsky's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sophie Tomsky enrolled in Medicare?

Yes. Sophie Tomsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophie Tomsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Tomsky reassigns Medicare benefits to Psych North PLLC (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophie Tomsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Tomsky accept?

Health plans from Aspirus Health Plan and HealthPartners list Sophie Tomsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophie Tomsky was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.