Michael Noel Sonn
Individual provider Active NPI Clinical Social Worker · Willow Creek, CA
NPI 1578091435 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1578091435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW98413 (CA)
- Practice address
- 114 Orchard LN
Willow Creek, CA 95573-9310 - Phone
- (707) 633-8054
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
114 Orchard LN
Willow Creek, CA 95573-9310
Phone (707) 633-8054
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210528002011 | CA | Practitioner - Clinical Social Worker | 7719386481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW98413 | CA | MD | Clinical Social Worker |
| 98413 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael N Sonn, Licensed Clinical Social Worker, PC | Current |
Accepting new patients |
Locations
920 Samoa Blvd
Ste 209
Arcata, CA 95521
Phone (707) 822-0370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | LCSW98413 | CA | Yes |
Addresses
Primary practice location
114 Orchard LN
Willow Creek, CA 95573-9310
Mailing address
PO Box 1254
Willow Creek, CA 95573-1254
Phone (707) 601-6884
Other providers in Willow Creek, CA
- Loretta Rae McCurtain
- Jesus Mendez Jr.
- Krista Moore
- Judi G Nelson
- Open Door Community Health Centers
- Trinity River Cab
- Thomas Weisend
- Willow Creek - Six Rivers Medical Center
- Willow Creek Pharmacy Inc
All providers in Willow Creek, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.