MEDICARE: MS. SONDRA KRONICK LMFT,LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	000468	CT
2	106H00000X	Marriage & Family Therapist	000413	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	195547	OTHER	CT	MHN
2	125156	OTHER	CT	VALUE OPTIONS
3	300000468CT02	OTHER	CT	ANTHEM BLUE CROSS-LADC
4	410000413CT08	OTHER	CT	ANTHEM BLUE CROSS-THOMAST
5	11243094	OTHER	CT	CAQH
6	195547	OTHER	CT	HEALTHNET
7	41000413CT09	OTHER	CT	ANTHEM BLUE CROSS
8	779454	OTHER	CT	MAGELLAN

General Provider Information

NPI Number	:	1093839797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONDRA KRONICK LMFT,LADC

Provider Business Mailing Address
First Line	:	208 BRUNING RD
Second Line	:
City	:	NEW HARTFORD
State	:	CT
Zip	:	06057-2535
Country	:	US
Telephone Number	:	869-309-6115
Fax Number	:	860-738-2549

Provider Business Practice Location Address
First Line	:	12 N MAIN ST STE 108
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-1932
Country	:	US
Telephone Number	:	860-561-8727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/11/2025

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