Sorya Pao, MSW, LSWAIC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7028 S Park Ave
Tacoma, WA 98408-5511

Phone

(253) 381-2054

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1548870488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 S PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984085511",
            "telephone_number": "253-381-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 S PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984085511",
            "telephone_number": "253-381-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAO",
        "first_name": "SORYA",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Panhuise Sullivan, ARNP
• Keri Peredo Panlasigui
• Pamela Jean Panther-Walters, SSMH CERTIFICATE
• Suman Panwar, DO
• Timothy Shawn Panzer, M.D.
• Travis Michael Paoli, ARNP
• Kristine-Cassandra B. Papa, LMP
• Patricia Joy Papadopoulos, MD
• Eckart Alexander Pape, D.P.M.
• Carolyn Papke

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.