Individual provider Active NPI

Sonya A Braverman, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1639241664
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05346 Issued in MD
Practice address
4978 Sentinel Drive
Suite 505
Bethesda, MD 20816-3575
Phone
(301) 204-4722
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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 05346 MD Primary

Addresses

Primary practice location

4978 Sentinel Drive
Suite 505
Bethesda, MD 20816-3575

Mailing address

4978 Sentinel Drive
Suite 505
Bethesda, MD 20816-3575
Phone (301) 204-4722

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05346MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Mental Health Services, Inc. Past Accepting new patients
Evergreen Mental Health Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1639241664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4978 SENTINEL DRIVE",
            "address_2": "SUITE 505",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208163575",
            "telephone_number": "301-204-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4978 SENTINEL DRIVE",
            "address_2": "SUITE 505",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208163575",
            "telephone_number": "301-204-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "SONYA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.