Provider Demographics
NPI:1902995293
Name:SORRELL, WILLIAM A (MSS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:SORRELL
Suffix:
Gender:M
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 BARNES ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3366
Mailing Address - Country:US
Mailing Address - Phone:610-970-8588
Mailing Address - Fax:
Practice Address - Street 1:4608 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-621-4757
Practice Address - Fax:412-621-5720
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0168111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical