Provider Demographics
NPI:1427065374
Name:SORENSEN, ELIZABETH KAY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KAY
Last Name:SORENSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:KAY
Other - Last Name:KIRCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSW
Mailing Address - Street 1:27762 ANTONIO PKWY # L1-523
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1140
Mailing Address - Country:US
Mailing Address - Phone:949-933-0971
Mailing Address - Fax:
Practice Address - Street 1:27762 ANTONIO PKWY # L1-523
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1140
Practice Address - Country:US
Practice Address - Phone:949-933-0971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS232031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical