Rebecca L Sorensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9719-123 Issued in WI

Practice address

6520 67TH St
Kenosha, WI 53142-1403

Phone

(262) 358-4459

NPI assigned

Sep 6, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1629746433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 85TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424836",
            "telephone_number": "262-865-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 67TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421403",
            "telephone_number": "262-358-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9719-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Song, DDS
• Edward Hanuk Song, D.M.D.
• Eun Joo Song
• Lisa Sonoda, RN
• Abigail Sorensen-Brittich, DPT
• Samantha Sorenson, PT
• South East Wisconsin Endodontic Associates
• Southeast Eye SC
• Southeast Wisconsin Ambulatory Surgical Center S C
• Southern Hope Homes LLC

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.