Provider Demographics
NPI:1376542886
Name:PONE, SONIA RACHEL (MSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:RACHEL
Last Name:PONE
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30234 HIGH VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2166
Mailing Address - Country:US
Mailing Address - Phone:248-661-9242
Mailing Address - Fax:248-642-6832
Practice Address - Street 1:999 HAYNES ST
Practice Address - Street 2:STE 250
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6715
Practice Address - Country:US
Practice Address - Phone:248-258-4939
Practice Address - Fax:248-258-4939
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISP0041291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0894578OtherMESA
MI0M14920Medicare ID - Type Unspecified