Individual provider Active NPI

Sonya Nicole Carson, LCSW

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1760915599
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55222 Issued in TX
Practice address
8602 Peach Ave
Lubbock, TX 79404-7777
Phone
(806) 745-1021
NPI assigned
Apr 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927463 CO
Clinical Social Worker 1041C0700X 55222 TX Primary

Addresses

Primary practice location

8602 Peach Ave
Lubbock, TX 79404-7777

Mailing address

8602 Peach Ave
Lubbock, TX 79404-7777

Other practice location 1

229 21st St SE Ste 101
Loveland, CO 80537-7350
Phone (970) 494-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250825001498 MI Practitioner - Clinical Social Worker 7517216518 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
Group practices
Southwest Counseling Solutions IncGroup PAC ID 4082648365, 15 clinicians

Practice addresses (Care Compare)

1700 Waterman St
Detroit, MI 48209-2022
Phone (313) 841-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927463COMDClinical Social Worker
55222TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Solutions Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

1700 Waterman St
Detroit, MI 48209
Phone (313) 841-8900

5716 Michigan Ave
Detroit, MI 48210
Phone (313) 554-1095

5716 Michigan Ave
Ste 3000
Detroit, MI 48210
Phone (313) 963-2266

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1760915599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8602 PEACH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794047777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8602 PEACH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794047777",
            "telephone_number": "806-745-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 21st St SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805377350",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "fax_number": "970-667-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "SONYA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927463",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.