Active NPI
Sonia B. Michelson, SOCIAL WORKER
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1124142914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1017179
- Practice address
- 1180 Beacon St
Suite 4C
Brookline, MA 02446-3885 - Phone
- (617) 738-9800
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1017179 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 1017179 | MA |
Addresses
Primary practice location
1180 Beacon St
Suite 4C
Brookline, MA 02446-3885
Mailing address
94 Park Ave
Newton, MA 02458-2629
Phone (617) 244-8505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017179 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124142914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 PARK AVE",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582629",
"telephone_number": "617-244-8505",
"fax_number": "617-964-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON ST",
"address_2": "SUITE 4C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463885",
"telephone_number": "617-738-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSON",
"first_name": "SONIA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1017179",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1017179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.