Active NPI
C. Sonny Hodgdon Jr., MSW, LCSW, LAT
- Clinical Social Worker
- Rock Springs, WY
National Provider Identifier
1306906581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-543
- Practice address
- 2300 Foothill Blvd
Rock Springs, WY 82901 - Phone
- (307) 352-6677
- Fax
- (307) 352-6614
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-160 | WY | |
| Clinical Social Worker | 1041C0700X | LCSW-543 | WY | Primary |
Addresses
Primary practice location
2300 Foothill Blvd
Rock Springs, WY 82901
Mailing address
2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6677
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-160 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW-543 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1306906581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 FOOTHILL BLVD",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-352-6677",
"fax_number": "307-352-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 FOOTHILL BLVD",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-352-6677",
"fax_number": "307-352-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGDON",
"first_name": "C. SONNY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW, LCSW, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT-160",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.