Healthcare Provider Details

I. General information

NPI: 1902783608
Provider Name (Legal Business Name): SONIA HOSSAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5219 N SHIRLEY ST STE 100
RUSTON WA
98407-6599
US

IV. Provider business mailing address

7520 RENTON AVE S APT D
SEATTLE WA
98118-3953
US

V. Phone/Fax

Practice location:
  • Phone: 804-502-1977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWIA.SC.61689103
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: