Stephanie R Sorady-Iverson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116391 Issued in CA

Practice address

3130 Bagley Ave Apt 108
Los Angeles, CA 90034-3063

Phone

(310) 428-0395

NPI assigned

Jul 24, 2023

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

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.

• Luz Therapy, Licensed Clinical Social Worker Inc.

  • Mental Health Counselor
  • Santa Monica, CA
  • NPI 1134073224
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1679253678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053029",
            "telephone_number": "310-428-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 BAGLEY AVE APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343063",
            "telephone_number": "310-428-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORADY-IVERSON",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Sopher, MD
• Sophia S. Hom, MD, a Medical Corporation
• Charles Joseph Sophy, MD
• Emily Sopkin, OTD, OTR/L
• Lizbeth Soracco
• Soraya Anne Ross MD a Medical Corporation
• Soraya Anne Ross MD a Medical Corporation
• Soraya Chiropractic Care Inc
• Soraya Roudsari Physical Therapy Inc.
• Soraya Wellness & Rehab Chiropractic Corporation

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.