Susan M. Sotka, LCSW, CADC, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3884 Issued in OR

Practice address

21210 NW Mauzey Rd
Hillsboro, OR 97124-9327

Phone

(503) 439-9531

Fax

(503) 531-3841

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Western Psychological and Counseling Services PC

  • Counselor
  • Hillsboro, OR
  • NPI 1811430663
  NPD (past)
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1356487466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21210 NW MAUZEY RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21210 NW MAUZEY RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249327",
            "telephone_number": "503-439-9531",
            "fax_number": "503-531-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTKA",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW, CADC, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3884",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chin Kyong Song, M.D.
• Tarim Song, DDS, MS
• Amal Soomro
• Sophia Natural Medicine, LLC
• Jessie Sorensen, LMT
• Joel Soto Rosario
• Burleena Rogene Soto, STUDENT
• Sound Oxygen Service LLC
• South Sound Inpatient Physicians PLLC
• Tye Southern, RN

• Clinical Social Worker in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.