| Michael N Sonn, Licensed Clinical Social Worker, Pc | |
|
114 Orchard Ln Willow Creek CA 95573-9310 | |
| (707) 633-8054 | |
| Not Available |
| Full Name | Michael N Sonn, Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 114 Orchard Ln, Willow Creek, California |
| Authorized Official Name and Position | Michael N Sonn (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 7076338054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael N Sonn, Licensed Clinical Social Worker, Pc Po Box 1254 Willow Creek CA 95573-1254 Ph: (707) 633-8054 | Michael N Sonn, Licensed Clinical Social Worker, Pc 114 Orchard Ln Willow Creek CA 95573-9310 Ph: (707) 633-8054 |
| NPI Number | 1144959370 |
|---|---|
| Provider Enumeration Date | 06/04/2022 |
| Last Update Date | 06/04/2022 |
| Certification Date | 06/04/2022 |
| Medicare PECOS PAC ID | 1951781046 |
|---|---|
| Medicare Enrollment ID | O20220707000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144959370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael Noel Sonn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578091435 PECOS PAC ID: 7719386481 Enrollment ID: I20210528002011 |
Willow Creek Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Walnut Way, Willow Creek, CA 95573 Phone: 707-268-2990 |