| Doctor Name: | MRS. SUE NOVACK SORENSEN |
| NPI Number: | 1013048313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS 13709 |
| Business Practice Address: | 12450 Van Nuys Blvd 100 Pacoima, CA - 913311391 |
| Business Phone Number: | 8188968366 |
| Business Fax Number: | 8188968392 |
| Mailing Address: | 1852 Mary Rd, ACTON |
| State: | CA |
| Postal Code: | 935101493 |
| Phone Number: | 6612692290 |
| Fax Number: | 6612692213 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 13709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |