TRAVIS D SORENSON


Address: 650 Komas Dr, Salt Lake City, UT 84108-1215
Phone: 8015873483

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
71071643501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 650 KOMAS DR
City SALT LAKE CITY
State UT
Zip Code 84108-1215

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84108

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Dataset Information

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.

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