Active NPI
Nancy Lee Sonntag, L.C.S.W.
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1215926936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21346
- Practice address
- 6162 E Mockingbird LN
Ste. 215
Dallas, TX 75214-2697 - Phone
- (972) 841-4510
- NPI assigned
- Oct 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21346 | TX | Primary |
Addresses
Primary practice location
6162 E Mockingbird LN
Ste. 215
Dallas, TX 75214-2697
Mailing address
1508 Melrose Cir
Richardson, TX 75080-3001
Phone (972) 841-4510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040365102 | Medicaid | TX | |
| 0001LJ | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040730000788 | TX | Practitioner - Clinical Social Worker | 9638149123 | Practice locations: Dallas, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5911 Oram St
Dallas, TX 75206-7231
Phone (972) 841-4510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21346 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215926936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 MELROSE CIR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803001",
"telephone_number": "972-841-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6162 E MOCKINGBIRD LN",
"address_2": "STE. 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142697",
"telephone_number": "972-841-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNTAG",
"first_name": "NANCY",
"middle_name": "LEE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040365102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0001LJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.