Provider Demographics
NPI:1366850141
Name:FOSTER, SONORA ANN (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:SONORA
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 TAYLOR AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3047
Mailing Address - Country:US
Mailing Address - Phone:732-612-8635
Mailing Address - Fax:732-223-8004
Practice Address - Street 1:38 TAYLOR AVE STE 1
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3047
Practice Address - Country:US
Practice Address - Phone:732-612-8635
Practice Address - Fax:732-223-8004
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057813001041C0700X
NJ44SL059815001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical