Healthcare Provider Details

I. General information

NPI: 1326958687
Provider Name (Legal Business Name): SONYA Y LINCOLN, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CIVIC CENTER DR STE 100C
RANCHO CUCAMONGA CA
91730-3875
US

IV. Provider business mailing address

3350 E 7TH ST # 736
LONG BEACH CA
90804-5003
US

V. Phone/Fax

Practice location:
  • Phone: 951-546-7404
  • Fax:
Mailing address:
  • Phone: 951-546-7404
  • Fax: 951-742-4056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. SONYA YVETTE LINCOLN
Title or Position: PRESIDENT
Credential: LCSW, DSW
Phone: 951-546-7404