Individual provider Active NPI

Ryane Sorey, L.C.S.W

  • Behavior Analyst
  • Sheridan, AR
National Provider Identifier
1245344589
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1948-C Issued in AR
Practice address
512 W Church St Ste a
Sheridan, AR 72150-2016
Phone
(870) 484-4411
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1948-C AR
Behavior Analyst 103K00000X 1948-C AR Primary

Addresses

Primary practice location

512 W Church St Ste a
Sheridan, AR 72150-2016

Mailing address

512 W Church St Ste a
Sheridan, AR 72150-2016
Phone (870) 484-4411

Other practice location 1

10810 Executive Center Dr
Danville Building, Suite 303
Little Rock, AR 72211-4354
Phone (501) 312-7578

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

State licenses

LicenseStateTypeSpecialty
1948-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Resolution Resources, Inc. Clinical Past Accepting new patients
Senior Resolution Resources, Inc Past Accepting new patients

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1245344589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W CHURCH ST STE A",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502016",
            "telephone_number": "870-484-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W CHURCH ST STE A",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502016",
            "telephone_number": "870-484-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10810 Executive Center Dr",
            "address_2": "Danville Building, Suite 303",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722114354",
            "country_code": "US",
            "telephone_number": "501-312-7578",
            "fax_number": "501-312-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOREY",
        "first_name": "RYANE",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1948-C",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1948-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.