IndividualActive
Shawn Sorensen, CSWA, QMHP, CADCIII
NPI 1144831991 · Clinical Social Worker · Roseburg, OR
Provider details
- NPI number
- 1144831991
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSWA, QMHP, CADCIII
- Sex
- Male
- Sole proprietor
- No
- License
- 25-05-30158 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 631-9636
Street-level locationGet directions
Mailing address
Po Box 1121
Roseburg, OR 97470-0254
Additional practice locations (1)
- 2318 Ne Martin Luther King Jr BlvdPortland, OR 97212-3715Phone: (503) 335-8611
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.