Sonya R Dyer

Individual provider Active NPI Clinical Social Worker · Milford, DE

NPI 1417014689 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1417014689
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
Q10000609 (DE)
Practice address
1131 Airport Rd
Milford, DE 19963-6418
Phone
(302) 422-8026
Fax
(302) 422-0701
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
Q10000609DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Place II, Inc. Past
since Jun 7, 1999
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q10000609 DE Yes

Addresses

Primary practice location

1131 Airport Rd
Milford, DE 19963-6418

Mailing address

1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026

Other identifiers

IdentifierTypeStateIssuer
1000025151MedicaidDE

Other providers in Milford, DE

All providers in Milford, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.