Individual provider Active NPI

Steven R Sorenson, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1114004306
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-616 Issued in WY
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

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PCSW-251WYMDMental Health Counselor
11959463-3501UTMDClinical Social Worker
LCSW-616WYMDClinical 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.

Verify at the official NPI Registry.