Individual provider Active NPI

Desiree Nitka, LSW

  • Social Worker
  • Dallas, TX
National Provider Identifier
1295274504
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
11300 N Central Expy Ste 610
Dallas, TX 75243-6714
Phone
(145) 300-0212
Fax
(214) 530-0021
NPI assigned
Feb 20, 2017
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CO Primary

Addresses

Primary practice location

11300 N Central Expy Ste 610
Dallas, TX 75243-6714

Mailing address

11300 N Central Expy Ste 610
Dallas, TX 75243-6714
Phone (145) 300-0212

Other practice location 1

13670 Via Varra Apt 314
Broomfield, CO 80020-9738
Phone (602) 403-0242

Other names 1

  • Desiree Sorensen Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Counseling Group PastSince Aug 25, 2019 Accepting new patients
Mindful Path Counseling & Wellness PLLC Mental Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1295274504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 N CENTRAL EXPY STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436714",
            "telephone_number": "145-300-0212",
            "fax_number": "214-530-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N CENTRAL EXPY STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436714",
            "telephone_number": "145-300-0212",
            "fax_number": "214-530-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13670 Via Varra Apt 314",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800209738",
            "country_code": "US",
            "telephone_number": "602-403-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITKA",
        "first_name": "DESIREE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "SORENSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.