Organization Active NPI

Melanie Sorensen, LCSW, LLC

  • Community/Behavioral Health Agency
  • Darien, CT
National Provider Identifier
1942755764
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8835 Issued in CT
Legal business name
MELANIE SORENSEN, LCSW, LLC
Practice address
5 Brook St
Darien, CT 06820-4549
Phone
(203) 564-9677
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Melanie Sorensen Koschnitzke, LCSW
Title
Owner
Phone
(203) 564-9677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8835 CT Primary

Addresses

Primary practice location

5 Brook St
Darien, CT 06820-4549

Mailing address

PO Box 3565
Stamford, CT 06905-0565

National Provider Directory

National Provider Directory

Locations

5 Brook St
Darien, CT 06820
Phone (203) 564-9677

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1942755764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3565",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069050565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BROOK ST",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204549",
            "telephone_number": "203-564-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE SORENSEN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSCHNITZKE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "SORENSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-564-9677",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "8835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.