Provider Demographics
NPI:1144959370
Name:MICHAEL N SONN, LICENSED CLINICAL SOCIAL WORKER, PC
Entity type:Organization
Organization Name:MICHAEL N SONN, LICENSED CLINICAL SOCIAL WORKER, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:SONN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:707-881-9493
Mailing Address - Street 1:PO BOX 1254
Mailing Address - Street 2:
Mailing Address - City:WILLOW CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95573-1254
Mailing Address - Country:US
Mailing Address - Phone:707-881-9493
Mailing Address - Fax:
Practice Address - Street 1:920 SAMOA BLVD STE 209
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6696
Practice Address - Country:US
Practice Address - Phone:707-940-9528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-04
Last Update Date:2025-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty