Provider Demographics
NPI:1740045285
Name:SORTE, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SORTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MORGAN ST UNIT 604
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5566
Mailing Address - Country:US
Mailing Address - Phone:914-261-8121
Mailing Address - Fax:
Practice Address - Street 1:111 MORGAN ST UNIT 604
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5566
Practice Address - Country:US
Practice Address - Phone:914-261-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW226151041C0700X
NY096409-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical