Provider Demographics
NPI:1841733359
Name:SCHILLING-MANSOUR, SONIA (LCSW, EDD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:SCHILLING-MANSOUR
Suffix:
Gender:F
Credentials:LCSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 BEAVER RUN AVE
Mailing Address - Street 2:
Mailing Address - City:SIDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15955-4303
Mailing Address - Country:US
Mailing Address - Phone:814-244-7722
Mailing Address - Fax:
Practice Address - Street 1:1039 BEAVER RUN AVE
Practice Address - Street 2:
Practice Address - City:SIDMAN
Practice Address - State:PA
Practice Address - Zip Code:15955-4303
Practice Address - Country:US
Practice Address - Phone:814-244-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PACW0211181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health