Provider Demographics
NPI:1982259933
Name:SONNIER, SUCI ANDREA (LCSW)
Entity type:Individual
Prefix:
First Name:SUCI
Middle Name:ANDREA
Last Name:SONNIER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61141 S HWY 97 STE 422
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2523
Mailing Address - Country:US
Mailing Address - Phone:541-275-5386
Mailing Address - Fax:541-229-1311
Practice Address - Street 1:131 NW HAWTHORNE AVE STE 103
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2957
Practice Address - Country:US
Practice Address - Phone:541-275-5386
Practice Address - Fax:541-229-1311
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL83601041C0700X
ORA48831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical