Sue Novack Sorensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 13709 Issued in CA

Practice address

12450 Van Nuys Blvd
100
Pacoima, CA 91331-1391

Phone

(818) 896-8366

Fax

(818) 896-8392

NPI assigned

Mar 8, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013048313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 MARY RD",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935101493",
            "telephone_number": "661-269-2290",
            "fax_number": "661-269-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 VAN NUYS BLVD",
            "address_2": "100",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311391",
            "telephone_number": "818-896-8366",
            "fax_number": "818-896-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "SUE",
        "middle_name": "NOVACK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 13709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Smith
• Lisamarie Solano, M.A.
• Hector Solis
• Nina Marie Solis
• Stephanie Margit Sonn, LMFT
• Jose G Sosa I
• Nicole Anntoinette Sosa, MFT
• Southland Hospice Inc.
• Shamar Spencer
• Larry Jermaine Spinks, LMFT

• Clinical Social Worker in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.