Individual provider Active NPI

Sonya A Wolfrom, LSW

  • Clinical Social Worker
  • Williamsport, PA
National Provider Identifier
1487996724
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024188 Issued in PA
Practice address
705 Washington Blvd Ste 100
Williamsport, PA 17701-5355
Phone
(570) 321-6390
Fax
(570) 321-6393
NPI assigned
Mar 25, 2013
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW024188 PA Primary

Addresses

Primary practice location

705 Washington Blvd Ste 100
Williamsport, PA 17701-5355

Mailing address

121 S Summit St
Lock Haven, PA 17745-2827
Phone (570) 660-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001119 PA Practitioner - Clinical Social Worker 9133560121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gillum Psychological & Counseling Services Current Accepting new patients
Gillum Psychological & Counseling Services Social Worker Current Accepting new patients

Locations

705 Washington Blvd
Ste 100
Williamsport, PA 17701
Phone (570) 321-6390

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1487996724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S SUMMIT ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452827",
            "telephone_number": "570-660-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON BLVD STE 100",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015355",
            "telephone_number": "570-321-6390",
            "fax_number": "570-321-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFROM",
        "first_name": "SONYA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.