Individual provider Active NPI

Michael Sorensen, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1215384839
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10296-C Issued in NV
Practice address
8752 Shady Pines Drive
Las Vegas, NV 89143-8914
Phone
(702) 339-4150
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1380P-S NV
Clinical Social Worker 1041C0700X 10296-C NV Primary

Addresses

Primary practice location

8752 Shady Pines Drive
Las Vegas, NV 89143-8914

Mailing address

5420 W Sahara Ave
Suite 101
Las Vegas, NV 89146-0394
Phone (702) 882-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001299 NV Practitioner - Clinical Social Worker 2961841077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3351 S Highland Dr
Suite 204
Las Vegas, NV 89109-3430
Phone (702) 339-4150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1380P-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Minds LTD Clinical CurrentSince Sep 17, 2024 Accepting new patients
Elements of Motivation LLC CurrentSince Feb 16, 2024 Accepting new patients
Shining Star Community Services Rehabilitation Practitioner Past Accepting new patients
Claudia Barraza PastSince Feb 16, 2024 Accepting new patients
Shining Star Community Services Past Accepting new patients

Locations

3351 S Highland Dr
Ste 204
Las Vegas, NV 89109
Phone (702) 339-4150

720 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 331-4874

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1215384839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460394",
            "telephone_number": "702-882-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 SHADY PINES DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891438914",
            "telephone_number": "702-339-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-05-23",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "1380P-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10296-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.