Individual provider Active NPI

Lisa Sonday, MSW, LMSW, CAADC

  • Social Worker
  • Portage, MI
National Provider Identifier
1104262997
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092612 Issued in MI
Practice address
8036 Moorsbridge Rd
Suite #2
Portage, MI 49024-4419
Phone
(269) 327-1438
Fax
(269) 427-6454
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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 6801092612 MI Primary

Addresses

Primary practice location

8036 Moorsbridge Rd
Suite #2
Portage, MI 49024-4419

Mailing address

5320 Holiday Ter Ste 8
Kalamazoo, MI 49009-2100
Phone (269) 375-6079

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
I20141103001049 MI Practitioner - Clinical Social Worker 7719109909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5228 Lovers LN
Suite 103
Portage, MI 49002-1521
Phone (312) 285-9063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Psychological Services, P. C. CurrentSince Mar 1, 2015 Accepting new patients
LTS Therapy CurrentSince Jul 13, 2024 Accepting new patients

Locations

3325 Greenleaf Blvd
Kalamazoo, MI 49008

8036 Moorsbridge Rd
Ste 2
Portage, MI 49024
Phone (269) 327-1438

5228 Lovers Ln
Ste 103
Portage, MI 49002
Phone (269) 343-3818

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1104262997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 8",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-375-6079",
            "fax_number": "269-375-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 MOORSBRIDGE RD",
            "address_2": "SUITE #2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244419",
            "telephone_number": "269-327-1438",
            "fax_number": "269-427-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDAY",
        "first_name": "LISA",
        "credential": "MSW, LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.