Sophia Rene Alatorre Sanchez, CSW
Individual provider Active NPI Clinical Social Worker · Richmond, KY
NPI 1447980396 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1447980396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 256818 (KY)
- Practice address
- 411 Gibson LN
Richmond, KY 40475-2577 - Phone
- (859) 626-5030
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256818 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vista of the Bluegrass Inc | Current |
Accepting new patients | |
| New Vista of the Bluegrass Inc | Current |
Accepting new patients | |
| New Vista of the Bluegrass Inc | Current | Accepting new patients |
Locations
1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686
411 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367
415 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 256818 | KY | Yes |
Addresses
Primary practice location
411 Gibson LN
Richmond, KY 40475-2577
Mailing address
411 Gibson LN
Richmond, KY 40475-2577
Phone (859) 626-5030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Other providers in Richmond, KY
- Jana Nicolle Agee
- Agilitas USA, Inc
- Mansoor Ahmed
- Shamik Aikat
- Rizwan Akhtar
- Taylor Rose Albitar
- Eileen Alesia Aldridge
- Brittney Alexander
- Erin Marie Alexander
- Kimberly May Alexander
All providers in Richmond, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.