Individual provider Active NPI

Sonya McComiskie, LICSW

  • Social Worker
  • Methuen, MA
National Provider Identifier
1720393150
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114645 Issued in MA
Practice address
100A Haverhill St
Methuen, MA 01844-4251
Phone
(978) 682-5276
Fax
(978) 688-4932
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 114645 MA Primary

Addresses

Primary practice location

100A Haverhill St
Methuen, MA 01844-4251

Mailing address

100A Haverhill St
Methuen, MA 01844-4251
Phone (978) 682-5276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220827000011 MA Practitioner - Clinical Social Worker 8921482795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

857 Turnpike St
Suite 136
North Andover, MA 01845-6140
Phone 97868629001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114645MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willows Associates Psychological & Counseling Services Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

857 Turnpike St
Ste 136
North Andover, MA 01845
Phone (978) 686-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1720393150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100A HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444251",
            "telephone_number": "978-682-5276",
            "fax_number": "978-688-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A HAVERHILL ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444251",
            "telephone_number": "978-682-5276",
            "fax_number": "978-688-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMISKIE",
        "first_name": "SONYA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "114645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.