Organization Active NPI

Sonya'S Private Practice PLLC

  • Clinical Social Worker
  • Covington, WA
National Provider Identifier
1336893296
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SONYA'S PRIVATE PRACTICE PLLC
Practice address
16010 SE 250TH CT
Covington, WA 98042-4168
Phone
(253) 951-1872
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Sonya HarkinsNPI 1164783114
Title
Owner
Phone
(253) 951-1872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16010 SE 250TH CT
Covington, WA 98042-4168

Mailing address

16010 SE 250TH CT
Covington, WA 98042-4168
Phone (253) 951-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220707003681 WA Part B Supplier - Clinic/Group Practice 8022498088 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1336893296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 SE 250TH CT",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424168",
            "telephone_number": "253-951-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 SE 250TH CT",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424168",
            "telephone_number": "253-951-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONYA'S PRIVATE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-951-1872"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.