Individual provider Active NPI

Sonia Schilling-Mansour, LCSW, EDD

  • Clinical Social Worker
  • Sidman, PA
National Provider Identifier
1841733359
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021118 Issued in PA
Practice address
1039 Beaver Run Ave
Sidman, PA 15955-4303
Phone
(814) 244-7722
NPI assigned
Dec 1, 2016
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CW021118 PA Primary

Addresses

Primary practice location

1039 Beaver Run Ave
Sidman, PA 15955-4303

Mailing address

1039 Beaver Run Ave
Sidman, PA 15955-4303
Phone (814) 244-7722

Other practice location 1

865 Eisenhower Blvd
Johnstown, PA 15904-3318
Phone (814) 266-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241105002765 PA Practitioner - Clinical Social Worker 9436683067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021118PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eyho Behavioral Health Services Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 4, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1841733359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 BEAVER RUN AVE",
            "city": "SIDMAN",
            "state": "PA",
            "postal_code": "159554303",
            "telephone_number": "814-244-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 BEAVER RUN AVE",
            "city": "SIDMAN",
            "state": "PA",
            "postal_code": "159554303",
            "telephone_number": "814-244-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Eisenhower Blvd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043318",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-4922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILLING-MANSOUR",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "LCSW, EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidman, PA

Sources for this page

Verify at the official NPI Registry.