| Annie Sorsa, Lcsw, Pllc | |
|
7608 Ky-146 Ste. 104 Pewee Valley KY 40056 | |
| (502) 314-4338 | |
| (502) 470-5850 |
| Full Name | Annie Sorsa, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7608 Ky-146, Pewee Valley, Kentucky |
| Authorized Official Name and Position | Andrea M Sorsa (OWNER) |
| Authorized Official Contact | 5023144338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Sorsa, Lcsw, Pllc 7608 Ky-146 Ste. 104 Pewee Valley KY 40056 Ph: (502) 314-4338 | Annie Sorsa, Lcsw, Pllc 7608 Ky-146 Ste. 104 Pewee Valley KY 40056 Ph: (502) 314-4338 |
| NPI Number | 1487235099 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/05/2023 |
| Medicare PECOS PAC ID | 6204245061 |
|---|---|
| Medicare Enrollment ID | O20210506002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487235099 | NPI | - | NPPES |
| 7100645940 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea Sorsa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104955020 PECOS PAC ID: 7911316781 Enrollment ID: I20210506002193 |
Nourish Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 W Highway 146 Ste 200, Pewee Valley, KY 40056 Phone: 502-805-9699 Fax: 502-805-9664 |