Organization Active NPI

Sonny Soul LLC

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1043165863
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SONNY SOUL LLC
Practice address
14818 Trinity Fall Way
Bradenton, FL 34212-3923
Phone
(914) 440-3400
Fax
(845) 531-3100
NPI assigned
Feb 27, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Ms. Carolyn Croce-Mirque, LCSWNPI 1053754374
Title
Owner/Ceo
Phone
(914) 440-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14818 Trinity Fall Way
Bradenton, FL 34212-3923

Mailing address

14818 Trinity Fall Way
Bradenton, FL 34212-3923
Phone (914) 440-3400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1043165863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 TRINITY FALL WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342123923",
            "telephone_number": "914-440-3400",
            "fax_number": "845-531-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14818 TRINITY FALL WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342123923",
            "telephone_number": "914-440-3400",
            "fax_number": "845-531-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "CROCE-MIRQUE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "914-440-3400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.