Mary Sorrendino, L.M.H.C, C.A.S.A.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18873 Issued in NY

Practice address

109 S Warren St
Suite 508 State Tower Building
Syracuse, NY 13202-1798

Phone

(315) 475-1771

Fax

(315) 475-4601

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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.

• Recovery Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Syracuse, NY
  • NPI 1245393115
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1528209111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S WARREN ST",
            "address_2": "SUITE 508 STATE TOWER BUILDING",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021798",
            "telephone_number": "315-475-1771",
            "fax_number": "315-475-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WARREN ST",
            "address_2": "SUITE 508 STATE TOWER BUILDING",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021798",
            "telephone_number": "315-475-1771",
            "fax_number": "315-475-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENDINO",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C, C.A.S.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18873",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003190-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Soper
• Lori Jo Sopko, MOT
• Shane M Sopp, MD
• Christina D Sorbello
• Gwen M Sorber, NP
• John David Sotherden, LMSW
• Flavia Celeste Soto, MD
• Rose D Soto, NP
• Rulizabeth Soto, LMSW
• Adriana Sotolongo, LMSW

• Addiction (Substance Use Disorder) Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.