MEDICARE: MS. SONDRA BITONTI LCSW

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	1041C0700X	Clinical Social Worker	LCSW100424	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER	NY	COLUMBIA UNIVERSITY SCHOOL OF SOCIAL WORK

General Provider Information

NPI Number	:	1972753820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONDRA BITONTI LCSW

Provider Business Mailing Address
First Line	:	215 EFFEY ST
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2547
Country	:	US
Telephone Number	:	831-588-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 SOQUEL AVE STE 103
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2097
Country	:	US
Telephone Number	:	831-471-8024
Fax Number	:

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

Provider Enumeration Date	:	09/29/2008
Last Update Date	:	06/10/2025

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