Provider Demographics
NPI:1073672234
Name:PERKINS, SONYA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 GREENBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2306
Mailing Address - Country:US
Mailing Address - Phone:516-221-0023
Mailing Address - Fax:516-781-7495
Practice Address - Street 1:1254 GREENBRIAR LN
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2306
Practice Address - Country:US
Practice Address - Phone:516-221-0023
Practice Address - Fax:516-781-7495
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR010101-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAS221OtherOXFORD
NY0024818OtherGHI
NYN32001Medicare ID - Type UnspecifiedMEDICARE