Individual provider Active NPI

Michael Noel Sonn

  • Clinical Social Worker
  • Willow Creek, CA
National Provider Identifier
1578091435
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW98413 Issued in CA
Practice address
114 Orchard LN
Willow Creek, CA 95573-9310
Phone
(707) 633-8054
NPI assigned
May 23, 2017
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X LCSW98413 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210528002011 CA Practitioner - Clinical Social Worker 7719386481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW98413CAMDClinical Social Worker
98413CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael N Sonn, Licensed Clinical Social Worker, PC CurrentSince Jun 10, 2022 Accepting new patients

Locations

920 Samoa Blvd
Ste 209
Arcata, CA 95521
Phone (707) 940-9528

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, 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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1578091435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1254",
            "city": "WILLOW CREEK",
            "state": "CA",
            "postal_code": "955731254",
            "telephone_number": "707-601-6884",
            "fax_number": "707-601-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ORCHARD LN",
            "city": "WILLOW CREEK",
            "state": "CA",
            "postal_code": "955739310",
            "telephone_number": "707-633-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONN",
        "first_name": "MICHAEL",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW98413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Creek, CA

Sources for this page

Verify at the official NPI Registry.