Individual provider Active NPI

Sonja Dietta Mayo, LMSW

  • Social Worker
  • Hart, MI
National Provider Identifier
1013445725
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801089271 Issued in MI
Practice address
611 E Main St
Hart, MI 49420-1190
Phone
(231) 873-6900
Fax
(231) 873-1825
NPI assigned
May 24, 2017
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801089271 MI Primary

Addresses

Primary practice location

611 E Main St
Hart, MI 49420-1190

Mailing address

2853 W Wilke Rd
Rothbury, MI 49452-8004
Phone (231) 893-4264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228001237 MI Practitioner - Clinical Social Worker 9931467735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health PartnersGroup PAC ID 1456430016, 65 clinicians

Practice addresses (Care Compare)

611 E Main St
Hart, MI 49420-1190
Phone (231) 873-5675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Esperanza, LLC Social Worker CurrentSince Nov 26, 2017 Accepting new patients
Mercy Health Partners CurrentSince Mar 10, 2021 Accepting new patients
Mercy Health Partners CurrentSince Mar 10, 2021 Accepting new patients

Locations

611 E Main St
Hart, MI 49420
Phone (231) 873-5478

1061 S Getty St
Muskegon, MI 49442
Phone (231) 343-1360

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

Networks

  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1013445725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 W WILKE RD",
            "city": "ROTHBURY",
            "state": "MI",
            "postal_code": "494528004",
            "telephone_number": "231-893-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201190",
            "telephone_number": "231-873-6900",
            "fax_number": "231-873-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "SONJA",
        "middle_name": "DIETTA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

Sources for this page

Verify at the official NPI Registry.