DR. CANDACE SORENSEN (NPI# 1073054136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073054136 |
| Entity Type | Individual |
| Full Name | DR. CANDACE SORENSEN |
| Credential | PH.D. |
| Practice Address |
3300 Dewey Ave Rochester NY 14616-3741 |
| Practice Telephone | 5858651550 |
| Practice Fax Number | 5858655219 |
| Mailing Telephone | 5858651550 |
| Mailing Fax Number | 5858655219 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
015036-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
3300 DEWEY AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14616-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578640298 | Villa of Hope | Voluntary or Charitable | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2006-11-01 |
| 1396370904 | Kanza Williams | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2020-03-04 |
| 1609417054 | Megan Odonnell | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-10-07 |
| 1235785775 | Levar Sanders | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-08-12 |
| 1265093884 | Breanna Steward | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-25 |
| 1013578087 | Kimberly Lillie | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-21 |
| 1558921924 | Robert Newcombe | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-06-18 |
| 1194381210 | Jennifer Marie Johnson | Counselor | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-05-14 |
| 1104399401 | Kathrynann Iannucci | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2019-01-09 |
| 1073004198 | Shawn James | Social Worker | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1760996490 | Carmella Marie Bertolone | Registered Nurse | Longridge Elementary School, 190 Longridge Avenue, Rochester, NY 14616 | 2017-11-16 |
| 1922537117 | Katrina Brianna Martin | Licensed Practical Nurse | 540 Affinity Ln, Rochester, NY 14616 | 2017-06-09 |
| 1679926174 | Aidah Mirembe | Registered Nurse | 4141 Churchill Dr, Rochester, NY 14616 | 2016-07-20 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1033507793 | Felecia C Thomas | Licensed Practical Nurse | 240 Joanne Dr. Apt #1, Rochester, NY 14616 | 2015-01-05 |
| 1548606551 | Matthew Teal | Social Worker | 1687 English Road, Rochester, NY 14616 | 2013-05-16 |
| 1982960258 | Tiffany I. Letts | Registered Nurse | 235 Valley Brook Circle, Rochester, NY 14616 | 2012-04-11 |
| 1508157793 | Venus V Scott | Licensed Practical Nurse | 24 Banker Pl, Rochester, NY 14616 | 2011-04-22 |
| 1194987271 | Gail Peterson | Counselor | English Road Psychotherapy, 1800 English Road, Rochester, NY 14616 | 2008-06-30 |
| Find all providers in zip 14616 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387456 | Allison Canfield | Psychologist | Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-07-07 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1598984338 | Stephen Morse Pulos | Psychologist | 488 French Rd, Rochester, NY 14618-5373 | 2007-04-24 |
| 1588116230 | Kayla Hunt | Psychologist | 200 E River Rd, Rochester, NY 14623-1212 | 2016-10-28 |
| 1790137206 | Melissa Castle | Psychologist | 315 Science Pkwy, Rochester, NY 14620-4257 | 2016-07-08 |
| 1790150282 | Janet Coster | Psychologist | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2015-12-09 |
| 1497129100 | Christina M Mule | Psychologist | 200 E River Rd, Rochester, NY 14623-1212 | 2015-11-18 |
| 1518374347 | Melissa Hord | Psychologist | 1027 7th St Nw, Rochester, MN 55901-2666 | 2014-07-14 |
| 1447516679 | Sarah Van Cleve Spencer | Psychologist | 315 Science Pkwy, Suite 100, Rochester, NY 14620-4257 | 2012-04-02 |
| 1245507706 | Susan Myers Goettsch | Psychologist | 200 1st St Sw, Mayo Clinic - Mayo Bldg W-11, Rochester, MN 55905-0001 | 2011-11-28 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on DR. CANDACE SORENSEN.
| 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.