| Brianna Sorensen, Lcsw, Pc | |
|
600 Spring Hill Ring Rd Suite 115 West Dundee IL 60118-7300 | |
| (630) 410-1129 | |
| Not Available |
| Full Name | Brianna Sorensen, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Spring Hill Ring Rd, West Dundee, Illinois |
| Authorized Official Name and Position | Brianna Sorensen (LCSW) |
| Authorized Official Contact | 6304101129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Sorensen, Lcsw, Pc 600 Spring Hill Ring Rd Suite 115 West Dundee IL 60118-7300 Ph: (630) 410-1129 | Brianna Sorensen, Lcsw, Pc 600 Spring Hill Ring Rd Suite 115 West Dundee IL 60118-7300 Ph: (630) 410-1129 |
| NPI Number | 1588064000 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 5092092270 |
|---|---|
| Medicare Enrollment ID | O20170426002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588064000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149016717 (Illinois) | Primary |
| Provider Name | Brianna Lynn Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073950564 PECOS PAC ID: 7719264993 Enrollment ID: I20170427000149 |
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