Individual provider Active NPI

Austin L Sorensen, MSW

  • Social Worker
  • Ely, NV
National Provider Identifier
1982831202
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6171-C Issued in NV
Practice address
802 Avenue E
Ely, NV 89301-2423
Phone
(775) 293-1558
Fax
(775) 375-0813
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6171-C NV Primary
Social Worker 104100000X PENDING NV

Addresses

Primary practice location

802 Avenue E
Ely, NV 89301-2423

Mailing address

1020 Avenue D
Ely, NV 89301-2407
Phone (775) 293-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120330000543 NV Practitioner - Clinical Social Worker 1456511369 Reassigns benefits to 1 organization
I20190619000454 NV Practitioner - Clinical Social Worker 1456511369 Practice locations: Ely, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

802 Ave E
Ely, NV 89301-2423
Phone (775) 293-1558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Feb 7, 2012 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Feb 7, 2012 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

61 N Willow St
Ste 4
Mesquite, NV 89027
Phone (702) 346-4696

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1982831202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 AVENUE D",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012407",
            "telephone_number": "775-293-1558",
            "fax_number": "775-375-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AVENUE E",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012423",
            "telephone_number": "775-293-1558",
            "fax_number": "775-375-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "AUSTIN",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "6171-C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, NV

Sources for this page

Verify at the official NPI Registry.