Individual provider Active NPI

Sonya Dee Williams, MSW, LICSW, LCSW

  • Clinical Social Worker
  • Rathdrum, ID
National Provider Identifier
1205378205
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60992556 Issued in WA
Practice address
7438 W Meadow Lark LN
Rathdrum, ID 83858-8170
Phone
(509) 953-1866
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-39992 ID
Clinical Social Worker 1041C0700X LW60992556 WA Primary

Addresses

Primary practice location

7438 W Meadow Lark LN
Rathdrum, ID 83858-8170

Mailing address

7438 W Meadow Lark LN
Rathdrum, ID 83858-8170
Phone (509) 838-4651

Other identifiers 1

IdentifierTypeStateIssuer
2114095MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-39992IDMDClinical Social Worker
LW60992556WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Mental Wellness, PLLC Current Accepting new patients
Frontier Behavioral Health Social Worker CurrentSince Nov 19, 2019 Accepting new patients

Locations

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

2118 E Sprague Ave
Spokane, WA 99202

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1205378205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 W MEADOW LARK LN",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588170",
            "telephone_number": "509-838-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 W MEADOW LARK LN",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588170",
            "telephone_number": "509-953-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SONYA",
        "middle_name": "DEE",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39992",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60992556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rathdrum, ID

Sources for this page

Verify at the official NPI Registry.