Individual provider Active NPI

Sonya M Thorn, LCSW

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1164665881
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27634 Issued in TX
Practice address
702 Stampede Rd
San Marcos, TX 78666-2756
Phone
(512) 757-0087
NPI assigned
Apr 10, 2009
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27634 TX Primary

Addresses

Primary practice location

702 Stampede Rd
San Marcos, TX 78666-2756

Mailing address

702 Stampede Rd
San Marcos, TX 78666-2756
Phone (512) 757-0087

Other practice location 1

819 Water St
Ste 300
Kerrville, TX 78028-5333
Phone (830) 258-5430

Other identifiers 1

IdentifierTypeStateIssuer
27634OtherTXLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL SanMarcos
CONNECT URL Mission

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

LicenseStateTypeSpecialty
27634TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1164665881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 STAMPEDE RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786662756",
            "telephone_number": "512-757-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 STAMPEDE RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786662756",
            "telephone_number": "512-757-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Water St",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780285333",
            "country_code": "US",
            "telephone_number": "830-258-5430",
            "fax_number": "830-792-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORN",
        "first_name": "SONYA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "27634",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SanMarcos",
            "affiliation": "N",
            "address_1": "702 Stampede Rd",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786662756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mission",
            "affiliation": "N",
            "endpointDescription": "RGV site",
            "address_1": "203 W 20th St",
            "city": "Mission",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785722809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.