MEDICARE: SONIA RENEE LEWIS

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	101Y00000X	Counselor
2	104100000X	Social Worker	97619	CA

General Provider Information

NPI Number	:	1316406010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA RENEE LEWIS

Provider Business Mailing Address
First Line	:	711 G ST STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1212
Country	:	US
Telephone Number	:	916-476-9675
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 G ST STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1212
Country	:	US
Telephone Number	:	916-476-9675
Fax Number	:

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

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	05/13/2025

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Directions to “ SONIA RENEE LEWIS ” Practice Location

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