Individual provider Active NPI

Lynn Sorenson, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1982916656
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-15265 Issued in AZ
Practice address
811 S Hamilton St
Chandler, AZ 85225-6308
Phone
(480) 344-6100
Fax
(480) 344-6101
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-15265 AZ Primary

Addresses

Primary practice location

811 S Hamilton St
Chandler, AZ 85225-6308

Mailing address

4061 E Des Moines St
Mesa, AZ 85205-6231
Phone (480) 447-7073

Other identifiers 1

IdentifierTypeStateIssuer
984595MedicaidAZ

Other names 1

  • Lynn Brimhall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160427001541 AZ Practitioner - Clinical Social Worker 5395044291 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-15265AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Nov 18, 2019 Accepting new patients
Maricopa County Special Health Care District CurrentSince Nov 18, 2019 Accepting new patients
New Adaptations Psychotherapy Services LLC Clinical Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

5650 S 35th Ave
Phoenix, AZ 85041
Phone (602) 655-6400

7808 W Thomas Rd
Phoenix, AZ 85033
Phone (480) 271-7576

1101 N Central Ave
Ste 204
Phoenix, AZ 85004
Phone (602) 344-6550

4011 N 51st Ave
Phoenix, AZ 85031
Phone (623) 344-6900

1101 N Central Ave
Fl 2
Phoenix, AZ 85004

Organizations & group practices 5

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1982916656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 E DES MOINES ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056231",
            "telephone_number": "480-447-7073",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S HAMILTON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256308",
            "telephone_number": "480-344-6100",
            "fax_number": "480-344-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-15265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984595",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BRIMHALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.