Sondra Joyce Southers, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

94 E Pages LN
Suite a
Centerville, UT 84014-2216

Phone

(801) 294-0578

Fax

(801) 298-2147

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 17, 2020 through Jun 17, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518008168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 YALE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051440",
            "telephone_number": "801-529-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 E PAGES LN",
            "address_2": "SUITE A",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142216",
            "telephone_number": "801-294-0578",
            "fax_number": "801-298-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERS",
        "first_name": "SONDRA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoptikal LLC (Shopko Optical 4240)
• Debra Ellis Smith
• Susanna Oley Smith, NP
• Allison Naylor Sondrup, PHARMD
• South Davis Psychological Services
• Lisa Steed, LCSW
• Scott Stephens
• Steven C. Lore, M.D., P.L.L.C. (Lore Family Medicine)
• Brian Michael Stokes, FNP-C
• Stressout PLLC

• Clinical Social Worker in Centerville, UT
• Providers in Centerville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.