Active NPI
Shauntina L Sorrells
- Social Worker
- Santa Ana, CA
National Provider Identifier
1114567674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1575 E 17TH St
Santa Ana, CA 92705-8506 - Phone
- (714) 785-4428
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1575 E 17TH St
Santa Ana, CA 92705-8506
Mailing address
1575 E 17TH St
Santa Ana, CA 92705-8506
Phone (714) 785-4428
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssorrells@orangewoodfoundation.org |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1114567674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 E 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058506",
"telephone_number": "714-785-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 E 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058506",
"telephone_number": "714-785-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELLS",
"first_name": "SHAUNTINA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssorrells@orangewoodfoundation.org",
"affiliation": "N",
"address_1": "1575 E 17th St",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "927058506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.