Organization Name: | BRIANNA SORENSEN, LCSW |
NPI Number: | 1588064000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIANNA SORENSEN (LCSW) |
Mailing Address: | 600 Spring Hill Ring Rd West Dundee |
State: | IL US |
Postal Code: | 601187300 |
Phone Number: | 6307403180 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2014 |
NPI Last Update Date: | 09/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149016717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |