Provider Demographics
NPI:1083991194
Name:BILSKI, SONYA NITIS (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:NITIS
Last Name:BILSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9494 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-9614
Mailing Address - Country:US
Mailing Address - Phone:269-217-3232
Mailing Address - Fax:
Practice Address - Street 1:9494 DOUGLAS AVENUE
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-9614
Practice Address - Country:US
Practice Address - Phone:269-217-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC01325101YA0400X
MI68010816591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)