Individual provider Active NPI

Sonua Barrera, LCSW

  • Clinical Social Worker
  • Boardman, OR
National Provider Identifier
1689270506
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A13395 Issued in OR
Practice address
450 Tatone St
Boardman, OR 97818-8076
Phone
(541) 481-7212
NPI assigned
Dec 7, 2020
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 A13395 OR Primary

Addresses

Primary practice location

450 Tatone St
Boardman, OR 97818-8076

Mailing address

PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-7212

Other identifiers 1

IdentifierTypeStateIssuer
500801734MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220726000536 OR Practitioner - Clinical Social Worker 3779964549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia River HealthGroup PAC ID 8527026087, 7 clinicians

Practice addresses (Care Compare)

450 Tatone St
Boardman, OR 97818-8076
Phone (541) 481-7212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13395ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Health CurrentSince Jul 1, 2022 Accepting new patients
Community Counseling Solutions Mental Health PastSince Dec 1, 2020 Accepting new patients

Locations

450 Tatone St
Boardman, OR 97818
Phone (541) 481-7212

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, 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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1689270506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180397",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TATONE ST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978188076",
            "telephone_number": "541-481-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "SONUA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500801734",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OR

Sources for this page

Verify at the official NPI Registry.