Individual provider Active NPI

Sonya Salazar

  • Clinical Social Worker
  • Yelm, WA
National Provider Identifier
1427508498
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61553061 Issued in WA
Practice address
313 Yelm Ave W
Yelm, WA 98597-8036
Phone
(360) 960-9501
NPI assigned
Oct 13, 2016
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 SC61553061 WA Primary
Case Manager/Care Coordinator 171M00000X NM

Addresses

Primary practice location

313 Yelm Ave W
Yelm, WA 98597-8036

Mailing address

618 Manzano St NE
Albuquerque, NM 87110-6302
Phone (505) 925-4353

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

LicenseStateTypeSpecialty
SC61553061WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth MFT PLLC CurrentSince Jul 21, 2024 Accepting new patients
University of New Mexico Hospital Past Accepting new patients
Bina Souri MD PS PastSince Jul 21, 2024 Accepting new patients

Locations

313 Yelm Ave W
Yelm, WA 98597
Phone (360) 458-4100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1427508498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MANZANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106302",
            "telephone_number": "505-925-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 YELM AVE W",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978036",
            "telephone_number": "360-960-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "SONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61553061",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.