Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Sorensen, CSWA, QMHP, CADCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144831991

Shawn Sorensen, CSWA, QMHP, CADCIII is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
Specialties on file
3

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 631-9636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2318 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3715 — (503) 335-8611

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A14900 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25-05-30158 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 24-QMHPC-001493 (OR)

Record details

NPI number1144831991
Entity typeIndividual (Type 1)
GenderMale
Credentials CSWA , QMHP , CADCIII
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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