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NPI Code Detail

MEDICARE: MRS. CELESTE ADELE SORENSEN LCSW

MEDICARE:  MRS. CELESTE ADELE SORENSEN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerIL

General Provider Information

NPI Number : 1740307503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CELESTE ADELE SORENSEN LCSW
Provider Business Mailing Address
First Line : 824 N WASHINGTON ST
Second Line :
City : WHEATON
State : IL
Zip : 60187-4239
Country : US
Telephone Number : 630-544-3324
Fax Number :
Provider Business Practice Location Address
First Line : 4300 COMMERCE CT
Second Line : SUITE 310
City : LISLE
State : IL
Zip : 60532-3698
Country : US
Telephone Number : 630-544-3324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CELESTE ADELE SORENSEN LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.