MEDICARE: SONYA ANN HESS LCSW

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	SW4457	FL
2	1041C0700X	Clinical Social Worker	SW4457	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1346292851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA ANN HESS LCSW

Provider Business Mailing Address
First Line	:	11031 NE 6TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33161-7182
Country	:	US
Telephone Number	:	305-398-6102
Fax Number	:	305-757-4465

Provider Business Practice Location Address
First Line	:	17567 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-5435
Country	:	US
Telephone Number	:	786-293-9577
Fax Number	:	786-293-9594

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	06/09/2011

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

17567 S DIXIE HWY
MIAMI, FL
33157-5435