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NPI Code Detail

MEDICARE: SONIA PORTUGAL LCSW

MEDICARE:   SONIA  PORTUGAL  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
11041C0700XClinical Social Worker093152NY

General Provider Information

NPI Number : 1982938056
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA PORTUGAL LCSW
Provider Business Mailing Address
First Line : 58 S MANHEIM BLVD APT 38
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-2464
Country : US
Telephone Number : 646-327-8824
Fax Number :
Provider Business Practice Location Address
First Line : 75 WASHINGTON ST
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-2303
Country : US
Telephone Number : 845-790-7990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 06/04/2025

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Directions to “ SONIA PORTUGAL LCSW” Practice Location

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