Active NPI
Steven R Sorenson, LCSW
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1114004306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-616
- Practice address
- 1186 E 4600 S Ste 440
Ogden, UT 84403-4868 - Phone
- (801) 505-6545
- Fax
- (801) 452-6768
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCSW-251 | WY | |
| Clinical Social Worker | 1041C0700X | 11959463-3501 | UT | |
| Clinical Social Worker | 1041C0700X | LCSW-616 | WY | Primary |
Addresses
Primary practice location
1186 E 4600 S Ste 440
Ogden, UT 84403-4868
Mailing address
4075 Liberty Ave
South Ogden, UT 84403-2942
Phone (480) 234-6401
Other practice location 1
1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6680 ext. 19
Other practice location 2
7309 Balmer St Bldg 545
Hill AFB, UT 84056
Phone (801) 777-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCSW-251 | WY | MD | Mental Health Counselor |
| 11959463-3501 | UT | MD | Clinical Social Worker |
| LCSW-616 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1114004306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 LIBERTY AVE",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844032942",
"telephone_number": "480-234-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 E 4600 S STE 440",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034868",
"telephone_number": "801-505-6545",
"fax_number": "801-452-6768"
}
],
"practiceLocations": [
{
"address_1": "1124 College Dr",
"address_purpose": "LOCATION",
"city": "Rock Springs",
"state": "WY",
"postal_code": "829015863",
"country_code": "US",
"telephone_number": "307-352-6680 x19",
"fax_number": "307-352-6676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7309 Balmer St Bldg 545",
"address_purpose": "LOCATION",
"city": "Hill AFB",
"state": "UT",
"postal_code": "84056",
"country_code": "US",
"telephone_number": "801-777-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORENSON",
"first_name": "STEVEN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "PCSW-251",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11959463-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.