Provider Demographics
NPI:1982082822
Name:BARTON, SONIA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:HAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:930 WILLOWBROOK RD
Mailing Address - Street 2:BUILDING 12 G, SUITE A
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4209
Mailing Address - Country:US
Mailing Address - Phone:718-982-1936
Mailing Address - Fax:718-982-1931
Practice Address - Street 1:930 WILLOWBROOK RD
Practice Address - Street 2:BUILDING 12 G, SUITE A
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4209
Practice Address - Country:US
Practice Address - Phone:718-982-1936
Practice Address - Fax:718-982-1931
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker