Sharon Elizabeth Sorrell, MSW LCSW
Individual provider Active NPI Clinical Social Worker · Black, MO
NPI 1083697403 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1083697403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW000457 (MO)
- Practice address
- RR 1 Box 127
Black, MO 63625-9704 - Phone
- (573) 269-4291
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW000457 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Springs Enterprises, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW000457 | MO | Yes |
Addresses
Primary practice location
RR 1 Box 127
Black, MO 63625-9704
Mailing address
3193 County Road 645
Cape Girardeau, MO 63701-9533
Phone (573) 332-1272
Other providers in Black, MO
- Patricia Cahill
- Isaac Gregory Freeman
- Virginia Ann Nesheim-Moore
- Deborah Stewart
- Valley Springs Enterprises, Inc.
- Valley Springs Youth Ranch
- Rachel Webb
All providers in Black, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.