Individual provider Active NPI

Suci Andrea Sonnier, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1982259933
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8360 Issued in OR
Practice address
131 NW Hawthorne Ave Ste 103
Bend, OR 97703-2957
Phone
(541) 275-5386
Fax
(541) 229-1311
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 L8360 OR Primary

Addresses

Primary practice location

131 NW Hawthorne Ave Ste 103
Bend, OR 97703-2957

Mailing address

61141 S Hwy 97 Ste 422
Bend, OR 97702-2523
Phone (541) 275-5386

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
I20200507002097 OR Practitioner - Clinical Social Worker 3072944016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

750 NW Charbonneau St
Suite 204
Bend, OR 97703-7047
Phone (541) 275-5386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PNW Trauma Counseling Clinical CurrentSince Aug 1, 2020 Accepting new patients

Locations

131 NW Hawthorne Ave
Ste 103
Bend, OR 97703
Phone (541) 604-8255

750 Charbonneau
Ste 204
Bend, OR 97703
Phone (541) 275-5386

61141 S Highway 97
Bend, OR 97702
Phone (541) 803-3730

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1982259933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61141 S HWY 97 STE 422",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022523",
            "telephone_number": "541-275-5386",
            "fax_number": "541-229-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW HAWTHORNE AVE STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032957",
            "telephone_number": "541-275-5386",
            "fax_number": "541-229-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNIER",
        "first_name": "SUCI",
        "middle_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.