Provider Demographics
NPI:1942587126
Name:NELSON, SONJA YVETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:YVETTE
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 KASHMERE SPRING LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-6035
Mailing Address - Country:US
Mailing Address - Phone:281-710-4643
Mailing Address - Fax:281-710-4643
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:SOCIAL WORK SERVICE LINE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-791-1414
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0159341041C0700X
TX589951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical