Individual
MS. SUSAN JANE SOREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.C.S.W.
Contact information
Practice address
211 E LOGAN ST STE B3, CALDWELL, ID 83605
(620) 221-9664
Mailing address
211 E LOGAN ST STE B3, CALDWELL, ID 83605-4883
(208) 454-1480
(800) 983-3790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2510
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098100A
—
KS
01
—
10819
LICENSE THROUGH 10/31.06
MD
01
—
2510
KANSAS LINCENSE
KS
Enumeration date
09/21/2006
Last updated
05/03/2026
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