Provider Demographics
NPI:1073912051
Name:NEGRETE, SONIA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:ANN
Last Name:NEGRETE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:ANN
Other - Last Name:NEGRETE-WINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3225 INDEPENDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-9380
Mailing Address - Country:US
Mailing Address - Phone:719-275-2351
Mailing Address - Fax:719-269-9386
Practice Address - Street 1:12343 HYMEADOW DR STE 3E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1858
Practice Address - Country:US
Practice Address - Phone:512-861-4154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX641661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor