TRAVIS D SORENSON (NPI# 1396000873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396000873 |
| Entity Type | Individual |
| Full Name | TRAVIS D SORENSON |
| Credential | LCSW |
| Practice Address |
650 Komas Dr Salt Lake City UT 84108-1215 |
| Mailing Address |
807 5th Ave Salt Lake City UT 84103-3516 |
| Practice Telephone | 8015873483 |
| Practice Fax Number | 8015818979 |
| Mailing Telephone | 8013610684 |
| Mailing Fax Number | 8015818979 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
71071643501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
650 KOMAS DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720969 | Kevin Duff | Clinical Neuropsychologist | 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 | 2005-09-19 |
| 1336410265 | Bethany H Lawrence | Social Worker | 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 | 2012-01-24 |
| 1538451455 | University of Utah Adult Behavioral Health Services | Psychiatry & Neurology | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2011-05-11 |
| 1467614966 | Jonathan Cox | Psychologist | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2008-06-26 |
| 1437347481 | Emily Marie Grossell | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-10-03 |
| 1952528374 | Benjamin Russell Chan | Psychiatry & Neurology | 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 | 2007-04-19 |
| 1619003449 | Michael Byron Johnson | Nurse Practitioner | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2007-02-26 |
| 1073659090 | Dianne Farrell Hale | Counselor | 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215 | 2007-01-29 |
| 1700933538 | Rachele Mary Mccarthey | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-01-04 |
| 1376641456 | Matthew Louis Moench | Psychiatry & Neurology | 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
| 1700490067 | Open Arms Youth and Adult Services | Social Worker | 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 | 2020-09-03 |
| 1275147019 | Libby Rae Hughes | Social Worker | 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 | 2020-08-31 |
| 1881206910 | Christine Madden | Social Worker | 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 | 2020-08-19 |
| 1003428566 | Laura Marie Baumgart | Social Worker | 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 | 2020-08-17 |
| 1851901193 | Angelique Colemere | Social Worker | 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 | 2020-08-02 |
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1619586856 | Layne Gerry Daybell | Social Worker | 136 E South Temple, Salt Lake City, UT 84111-1180 | 2020-07-23 |
| 1043829328 | Christopher Wesley Pace | Social Worker | 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 | 2020-07-23 |
| 1962028795 | Amy Lynn Horyna | Social Worker | 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 | 2020-06-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on TRAVIS D SORENSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.