Provider Demographics
NPI:1447997598
Name:PAYNE, SONYA DENISE (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:DENISE
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 GOTT ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3154
Mailing Address - Country:US
Mailing Address - Phone:734-686-8752
Mailing Address - Fax:
Practice Address - Street 1:1024 GOTT ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3154
Practice Address - Country:US
Practice Address - Phone:734-686-8752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010873271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical