Sonja Anne Tennyson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5121 Issued in SD

Practice address

35 S 4TH St
Custer, SD 57730-1916

Phone

(605) 440-1960

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1013740158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 MELLOW MEADOW PL",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577309212",
            "telephone_number": "605-440-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S 4TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301916",
            "telephone_number": "605-440-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "SONJA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State Treatment and Rehabilitation Academy
• Jeffrey Patrick Stephens
• Nancy Suelflow, CCC-SLP
• Amanda Lee Taglioli, PA-C
• Brandyn Ashley Tarap, MD
• The Counseling Place
• Theracare, Inc.
• Jennifer Tietsort
• Rodney Dale Veldhuizen, D. MIN
• Gloria D Walz, CNP

• Clinical Social Worker in Custer, SD
• Providers in Custer, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.